Typhoid Fever Presenting with Ileal Perforation and Gastric Perforation.
| Autor: | Muhammed MM; Department of Surgery, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria. Email: Dr.muhammedmurtala@gmail.com +2348061666943., Bwala KJ; Department of Surgery, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria. Email: Dr.muhammedmurtala@gmail.com +2348061666943., Okoruwa JO; Department of Surgery, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria. Email: Dr.muhammedmurtala@gmail.com +2348061666943. |
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| Jazyk: | angličtina |
| Zdroj: | West African journal of medicine [West Afr J Med] 2024 Jan 31; Vol. 41 (1), pp. 92-96. |
| Abstrakt: | Typhoid fever is caused by Salmonella typhi and Salmonella paratyphi. It is a disease of developing countries and is seen among people of low socio-economic status. Patients can develop complications like typhoid intestinal perforation which is associated with higher mortality. A 15-year-old female presented to the emergency pediatric unit with fever, abdominal pain and abdominal distension. She was septic, in respiratory distress, and had marked generalized abdominal tenderness with guarding. An assessment of generalized peritonitis secondary to typhoid intestinal perforation was made. She had exploratory laparotomy with intra-operative findings of ileal perforation and gastric perforation. She had repair of the intestinal and gastric perforations. Our patient presented late with concurrent use of NSAIDs and overwhelming sepsis which likely contributed to the gastric perforation as this is not a usual finding in patients with typhoid intestinal perforation. Gastric perforation is an unusual finding in patients with typhoid intestinal perforation. Typhoid fever and its complications can be easily prevented by the provision of safe water, proper facilities for sanitation, and practicing good hygiene. Competing Interests: The Authors declare that no competing interest exists. (Copyright © 2024 by West African Journal of Medicine.) |
| Databáze: | MEDLINE |
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