Typhoid fever colitis with massive lower gastrointestinal bleeding

Authors

  • Yousif Salem Department of General Surgery, King Hamad University Hospital, Busaiteen, Kingdom of Bahrain
  • Keith Johnston Department of Anasthesia, King Hamad University Hospital, Busaiteen, Kingdom of Bahrain
  • Amro Salem Department of General Surgery, King Hamad University Hospital, Busaiteen, Kingdom of Bahrain

DOI:

https://doi.org/10.18203/2349-2902.isj20190412

Keywords:

Colitis, Enteric fever, Salmonella typhi, Typhoid

Abstract

Authors are presenting the case of a 34year old female, with no known comorbidities, who after recent travel to Pakistan, presented with fever for 1 month and was diagnosed with typhoid fever.

During her admission she developed bleeding per rectum and abdominal pain labeled as right-side colitis, confirmed by endoscopy and CT scan, which was managed surgically by extended right hemicolectomy and ileostomy.

The aim of this case is to discuss a rare complication of typhoid fever which is lower gastrointestinal bleeding, and high light the importance of considering rare infectious cases if not in endemic areas.

References

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Ayub U, Khattak AA, Saleem A, Javed F, Siddiqui N, Hussain N, et al. Incidence of typhoid fever in Islamabad, Pakistan. Am-Eurasian J Toxicol Sci. 2015;7(4):220-3.

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Radhakrishnan A, Als D, Mintz ED, Crump JA, Stanaway J, Breiman RF, Bhutta ZA. Introductory article on global burden and epidemiology of typhoid fever. Am J Trop Med Hygiene. 2018 Sep 6;99(3_Suppl):4-9.

De Mel S, Wong RK. Massive gastrointestinal hemorrhage secondary to typhoid colitis: a case report and literature review. ID Cases. 2015 Jan 1;2(3):83-5.

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Published

2019-01-28

Issue

Section

Case Reports