Typhoid Ileocolitis - Endoscopic Aspects

Murinello, António; Morbey, A.; Coelho, J.; Mendonça, Pedro Pierro; Lázaro, A.; Netta, J.; Pires, Ana Cristina; Ramalho, Maria Pedreira; Ribeiro, Nuno; Peres, H.

doi:10.1016/j.ijid.2008.05.587

Cited by 4 publications

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“…The bacteria usually invade the small intestinal mucosa, where they infect and multiply via the lymphatic/blood vessels. Typical symptoms include febrile symptom, whole abdominal pain and tenderness, diarrhea, anorexia, and weight loss [1,2]. Most people diagnosed with enteric fever improve a few days after empirical antibiotic treatment.…”

Section: Introductionmentioning

confidence: 99%

Typhoid fever presenting with gastric ulcer bleeding

Jeon

Lee

et al. 2022

BMC Gastroenterol

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Background Enteric fever is a systemic disease caused by Salmonella enterica serovar Typhi or Salmonella enterica serovar Paratyphi, characterized by high fever and abdominal pain. Most patients with enteric fever improve within a few days after antibiotic treatment. However, some patients do not recover as easily and develop fatal life-threatening complications, including intestinal hemorrhage. Lower gastrointestinal bleeding has been reported in 10% of cases. However, upper gastrointestinal bleeding has rarely been reported in patients with enteric fever. We present a case of gastric ulcer hemorrhage caused by enteric fever. Case presentation A 32-year-old woman, complaining of fever lasting four days and right upper quadrant pain and melena that started one day before admission, consulted our hospital. Abdominal computed tomography revealed mild hepatomegaly and gastroscopy revealed multiple active gastric ulcers with flat black hemorrhagic spots. The melena of the patient stopped on the third day. On the fifth admission day, she developed hematochezia. At that time, Salmonella enterica serovar Typhi was isolated from the blood culture. The antibiotic regimen was switched to ceftriaxone. Her hematochezia spontaneously resolved the following day. Finally, the patient was discharged on the 12th admission day without clinical symptoms. However, her fever recurred one month after discharge, and she was readmitted and Salmonella enterica serovar Typhi was confirmed again via blood culture. She was treated with ceftriaxone for one month, and was discharged without complications. Conclusion Our case showed that although rare, active gastric ulcers can develop in patients with enteric fever. Therefore, upper and lower gastrointestinal bleeding should be suspected in patients with enteric fever, especially showing relapsing bacteremia.

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Section: Introductionmentioning

confidence: 99%

Typhoid fever presenting with gastric ulcer bleeding

Jeon

Lee

et al. 2022

BMC Gastroenterol

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“…Contrarily, in the literature most common description is punched-out ulcers of variable size in the ileum and ascending colon. 9 – 11 This difference is probably because nowadays we feel most of the patients are partially treated or already on antibiotics most patients have nondominant GI symptoms. However, given the scarcity of data, generalizing is difficult.…”

Section: Discussionmentioning

confidence: 99%

Colonoscopy Findings of Uncomplicated Enteric Fever Mimicking Koch\'s Disease

Mandrekar,

Verma,

Dahale

et al. 2024

Euroasian Journal of Hepato-Gastroenterology

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A bstract Enteric fever is a common occurrence in Southeast Asia with a myriad of presentations. Partial treatment often leads to prolonged illness. Along with this, bowel imaging often confounds the picture with tuberculosis. Colonoscopy and biopsy may help to differentiate from tuberculosis. The data on colonoscopy is scarce in enteric fever and is mostly available from case reports of gastrointestinal (GI) bleeding. We have described three cases of enteric fever with GI involvement mimicking tuberculosis. The colonoscopy picture is characteristic of pinkish-bluish ileal mucosa, with edema and decreased distensibility, along with multiple superficial ulcers. The ileocecal valve was involved in all three cases. The ascending colon was involved in two cases. There was complete resolution of lesions after treatment on follow-up. How to cite this article Verma A, Dahale AS, Gopal P, et al. Colonoscopy Findings of Uncomplicated Enteric Fever Mimicking Koch's Disease. Euroasian J Hepato-Gastroenterol 2024;14(1):120–123.

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“…En México, en 1986, Reyes y colaboradores reportaron un caso de colitis tifoidea con hemorragia gastrointestinal masiva. (Jeon et al,2022;Murinello, 2008;Reyes et al, 1986). Lee et al (2020) describieron los hallazgos endoscópicos en 7 pacientes con fiebre tifoidea entre marzo de 1995 y marzo de 2001, demostraron que el íleon terminal es el sitio más frecuentemente afectado, seguido por la válvula ileocecal, colon ascendente y colon transverso respectivamente.…”

Section: Caso Clínicounclassified

Enteritis por Salmonella: reporte de caso en paciente de 11 años

et al. 2023

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Salmonella Typhi es un bacilo gram-negativo que causa fiebre tifoidea y está asociado a complicaciones como hemorragia gastrointestinal, la cual se debe a erosiones de vasos adyacentes a las úlceras. El sitio más común de hemorragia gastrointestinal es el íleon terminal. Presentamos el caso de un paciente con fiebre tifoidea que desarrollo hematoquezia severa y úlceras en íleon terminal y colon ascendente las cuales fueron manejadas de forma conservadora.

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Typhoid Ileocolitis - Endoscopic Aspects

Cited by 4 publications

References 0 publications

Typhoid fever presenting with gastric ulcer bleeding

Typhoid fever presenting with gastric ulcer bleeding

Colonoscopy Findings of Uncomplicated Enteric Fever Mimicking Koch\'s Disease

Enteritis por Salmonella: reporte de caso en paciente de 11 años

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