Massive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature review. Issue 3 (2015)

• Record Type: Journal Article
• Authors: De Mel, Sanjay; Wong, Reuben K.
• Is Part Of: IDCases. Volume 2:Issue 3(2015)
• Page Start: 83
• Page End: 85
• Publication Date: 2015
• Subjects: Salmonella Typhi -- Colitis -- Lower gastrointestinal hemorrhage; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2015.08.003
• Languages: English
• ISSNs: 2214-2509

Abstract

Abstract: 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.