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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Format: | Article |
Language: | English |
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Elsevier
2015-01-01
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Series: | IDCases |
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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. |
first_indexed | 2024-12-14T15:55:36Z |
format | Article |
id | doaj.art-f4f898dad7694f799dac6cf6af9ef130 |
institution | Directory Open Access Journal |
issn | 2214-2509 |
language | English |
last_indexed | 2024-12-14T15:55:36Z |
publishDate | 2015-01-01 |
publisher | Elsevier |
record_format | Article |
series | IDCases |
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 |