Massive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature review

We present a case of massive lower gastrointestinal hemorrhage secondary to Salmonella enterica subtype Typhi (S. Typhi) colitis, in a 29 year-old female treated for S. Typhi bacteremia. One week post-treatment, she unexpectedly developed a large volume of rectal bleeding. Endoscopy showed colonic u...

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Main Authors: Sanjay De Mel, Reuben K. Wong
Format: Article
Language:English
Published: Elsevier 2015-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250915000219
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author Sanjay De Mel
Reuben K. Wong
author_facet Sanjay De Mel
Reuben K. Wong
author_sort Sanjay De Mel
collection DOAJ
description We present a case of massive lower gastrointestinal hemorrhage secondary to Salmonella enterica subtype Typhi (S. Typhi) colitis, in a 29 year-old female treated for S. Typhi bacteremia. One week post-treatment, she unexpectedly developed a large volume of rectal bleeding. Endoscopy showed colonic ulcers and ileitis, but no endoscopic hemostasis was required. Treatment was supportive with transfusions and a prolonged course of antimicrobials, with the bleeding stopping spontaneously. This case illustrates the phenomenon of delayed lower gastrointestinal hemorrhage, as a rare complication of S. Typhi infection.
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spelling doaj.art-f4f898dad7694f799dac6cf6af9ef1302022-12-21T22:55:17ZengElsevierIDCases2214-25092015-01-0123838510.1016/j.idcr.2015.08.003Massive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature reviewSanjay De Mel0Reuben K. Wong1Department of Haematology-Oncology, National University Cancer Institute, National University Healthcare System, SingaporeDepartment of Gastroenterology & Hepatology, University Medical Cluster, National University Healthcare System, SingaporeWe present a case of massive lower gastrointestinal hemorrhage secondary to Salmonella enterica subtype Typhi (S. Typhi) colitis, in a 29 year-old female treated for S. Typhi bacteremia. One week post-treatment, she unexpectedly developed a large volume of rectal bleeding. Endoscopy showed colonic ulcers and ileitis, but no endoscopic hemostasis was required. Treatment was supportive with transfusions and a prolonged course of antimicrobials, with the bleeding stopping spontaneously. This case illustrates the phenomenon of delayed lower gastrointestinal hemorrhage, as a rare complication of S. Typhi infection.http://www.sciencedirect.com/science/article/pii/S2214250915000219Salmonella TyphiColitisLower gastrointestinal hemorrhage
spellingShingle Sanjay De Mel
Reuben K. Wong
Massive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature review
IDCases
Salmonella Typhi
Colitis
Lower gastrointestinal hemorrhage
title Massive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature review
title_full Massive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature review
title_fullStr Massive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature review
title_full_unstemmed Massive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature review
title_short Massive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature review
title_sort massive gastrointestinal hemorrhage secondary to typhoid colitis a case report and literature review
topic Salmonella Typhi
Colitis
Lower gastrointestinal hemorrhage
url http://www.sciencedirect.com/science/article/pii/S2214250915000219
work_keys_str_mv AT sanjaydemel massivegastrointestinalhemorrhagesecondarytotyphoidcolitisacasereportandliteraturereview
AT reubenkwong massivegastrointestinalhemorrhagesecondarytotyphoidcolitisacasereportandliteraturereview