{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T15:16:21Z","timestamp":1783350981744,"version":"3.54.6"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2020,4,1]]},"abstract":"<jats:p>Ingestion of a foreign body is commonly encountered in clinical practice, but most cause no complications, passing spontaneously through the gastrointestinal tract. However, they can cause obstructive signs and symptoms, and surgical intervention for extraction of the foreign body may be required after identifying its location. We present here the case of a 49-year-old woman who presented to our emergency room with abdominal pain localizing to the right lower quadrant. Evaluation was most consistent with acute appendicitis, and she underwent uncomplicated appendectomy. A keratin nail with <jats:italic>Actinomyces<\/jats:italic> was identified in her appendix. Foreign bodies in the appendix can cause simple appendicitis, perforation, periappendiceal abscess, and peritonitis. Regardless of etiology, an appendectomy often ends up the primary treatment, but unusual and rare causes are worth noting if only for the clinician to be aware of when evaluating the next patient with abdominal pain and considering treatment options or future prevention. Our case is an example of a rare scenario in which an <jats:italic>Actinomyces<\/jats:italic>-contaminated human nail lodged in the appendix of a woman eventually resulting in acute appendicitis.<\/jats:p>","DOI":"10.1155\/2020\/3930905","type":"journal-article","created":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T23:31:20Z","timestamp":1585783880000},"page":"1-3","source":"Crossref","is-referenced-by-count":4,"title":["Nail Biting as a Cause of Appendicitis"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3458-6778","authenticated-orcid":true,"given":"Michael","family":"Pagacz","sequence":"first","affiliation":[{"name":"A.M. Rywlin, MD Department of Pathology, Mount Sinai Medical Center, Miami Beach, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8618-432X","authenticated-orcid":true,"given":"Philip","family":"Bao","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mount Sinai Medical Center, Miami Beach FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Carlos Alvarez","family":"Moreno","sequence":"additional","affiliation":[{"name":"A.M. Rywlin, MD Department of Pathology, Mount Sinai Medical Center, Miami Beach, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia","family":"Howard","sequence":"additional","affiliation":[{"name":"A.M. Rywlin, MD Department of Pathology, Mount Sinai Medical Center, Miami Beach, FL, USA"},{"name":"Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2018.03.018"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.09.001"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1159\/000016880"},{"issue":"2","key":"4","first-page":"277","volume":"67","year":"1933","journal-title":"Journal of Anatomy"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(81)90342-1"},{"issue":"1","key":"6","first-page":"47","volume":"36","year":"1985","journal-title":"Journal of the Canadian Association of Radiologists"},{"issue":"2","key":"7","first-page":"181","volume":"7","year":"2003","journal-title":"JSLS : Journal of the Society of Laparoendoscopic Surgeons \/ Society of Laparoendoscopic Surgeons"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjw068"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d6099"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2017.04.033"},{"issue":"2","key":"11","first-page":"65","volume":"66","year":"1931","journal-title":"Indian Medical Gazette"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2002.17.3.207"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/3930905.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/3930905.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/3930905.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T23:31:23Z","timestamp":1585783883000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cris\/2020\/3930905\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,1]]},"references-count":12,"alternative-id":["3930905","3930905"],"URL":"https:\/\/doi.org\/10.1155\/2020\/3930905","relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,1]]}}}