Successful endoscopic hemoclipping and conservative management for typhoid fever complicated by massive intestinal bleeding and acute pancreatitis: Case report.

Published on Aug 1, 2019in Medicine1.552
· DOI :10.1097/MD.0000000000016521
Joon Hyun Cho3
Estimated H-index: 3
Sources
Abstract
AbstractRationale:Massive intestinal bleeding as a complication of typhoid fever has rarely been reported due to the advent of antibiotics. In addition, although several literatures have been issued on the use and success of endoscopic modalities in cases of massive typhoid ulcer bleeding, few have
References27
Newest
Lower gastrointestinal bleeding (LGIB) along with intestinal perforation is a well-known complication of typhoid fever. Reports of colonoscopic appearance and intervention of typhoid perforation involve only few cases. This series reports the colonoscopic findings and the role of colonoscopic hemostatic interventions in controlling the bleeding ileocolonic lesions. During the typhoid fever outbreak in Sulaymaniyah City in Iraqi Kurdistan Region, we received 52 patients with LGIB manifesting as f...
3 CitationsSource
#1Amy L. Kullas (SBU: Stony Brook University)H-Index: 2
#1Amy L. Kullas (SBU: Stony Brook University)H-Index: 2
view all 11 authors...
Summary Salmonella enterica serovar Typhimurium avoids clearance by the host immune system by suppressing T cell responses; however, the mechanisms that mediate this immunosuppression remain unknown. We show that S. Typhimurium inhibit T cell responses by producing L-Asparaginase II, which catalyzes the hydrolysis of L-asparagine to aspartic acid and ammonia. L-Asparaginase II is necessary and sufficient to suppress T cell blastogenesis, cytokine production, and proliferation and to downmodulate...
64 CitationsSource
To the Editors:Typhoid fever is a systemic infection caused by Salmonellaenterica serotype Typhi (S. Typhi). In 2006, the incidence in Spain was 82 cases, of which 17 were in Catalonia (0.21 cases per 100,000 inhabitants).Prognosis depends on the speed of diagnosis and treatment. Factors such as age
4 CitationsSource
#1J.L. Hart (Hammersmith Hospital)H-Index: 1
#2James E. Jackson (Hammersmith Hospital)H-Index: 32
7 CitationsSource
#1Takeshi Asano (Nippon Medical School)H-Index: 13
#2Kentaroh Kuwabara (Nippon Medical School)H-Index: 4
Last. Osamu Fujino (Nippon Medical School)H-Index: 11
view all 7 authors...
: Pancreatitis represents an extremely rare complication of typhoid fever. Herein we report the case of a 4-year-old Bangladeshi girl with acute pancreatitis caused by Salmonella typhi.
6 CitationsSource
: A case of a patient is reported who was admitted with massive intestinal haemorrhaging after 10 days of medical discomfort, characterized by persistent fever, headache and abdominal pain. The patient did not respond to medical treatment: antibiotics, blood transfusions and fluid replacement and required emergency surgical intervention. Intestinal resection with primary anastomosis was performed, controlling the bleeding. Following the testing of blood cultures and histopathological study infec...
2 Citations
#1W. Abdullah Brooks (International Centre for Diarrhoeal Disease Research, Bangladesh)H-Index: 36
#2Anowar Hossain (International Centre for Diarrhoeal Disease Research, Bangladesh)H-Index: 24
Last. Robert F. Breiman (International Centre for Diarrhoeal Disease Research, Bangladesh)H-Index: 121
view all 11 authors...
We confirmed a bacteremic typhoid fever incidence of 3.9 episodes/1,000 person-years during fever surveillance in a Dhaka urban slum. The relative risk for preschool children compared with older persons was 8.9. Our regression model showed that these children were clinically ill, which suggests a role for preschool immunization.
185 CitationsSource
#1J.H. Lee (SMC: Samsung Medical Center)H-Index: 20
#2Kim Jj (SMC: Samsung Medical Center)H-Index: 9
Last. Jong-Chul Rhee (SMC: Samsung Medical Center)H-Index: 14
view all 9 authors...
Abstract Background. Intestinal bleeding in patients with typhoid fever usually occurs in the ileum. However, endoscopic findings in such patients are not well established. We examined the colonoscopic manifestations of intestinal lesions with bleeding in patients with typhoid fever. Patients and methods. The colonoscopic findings of seven patients who presented with haematochezia due to typhoid fever were reviewed retrospectively. Typhoid fever was diagnosed when the Salmonella typhi was isolat...
29 CitationsSource
#1John A. Crump (CDC: Centers for Disease Control and Prevention)H-Index: 77
#2Fouad G. YoussefH-Index: 2
Last. Frank Mahoney (CDC: Centers for Disease Control and Prevention)H-Index: 25
view all 8 authors...
To measure the incidence of typhoid fever and other febrile illnesses in Bilbeis District, Egypt, we conducted a household survey to determine patterns of health seeking among persons with fever. Then we established surveillance for 4 months among a representative sample of health providers who saw febrile patients. Health providers collected epidemiologic information and blood (for culture and serologic testing) from eligible patients. After adjusting for the provider sampling scheme, test sens...
139 CitationsSource
#1Ajit SoodH-Index: 32
#1Sood AH-Index: 4
Last. Sood NH-Index: 2
view all 3 authors...
5 Citations
Cited By2
Newest
#1Amey D. Sonavane (Apollo Hospitals)
#2Deepak Gupta (Apollo Hospitals)
Last. Aabha Nagral (Apollo Hospitals)H-Index: 4
view all 7 authors...
Typhoid fever can manifest with a variety of gastrointestinal symptoms. However, in the present-day era, gastrointestinal bleeding related to bowel ulceration is becoming increasingly sporadic especially in the urban setting. We present a rare case of life-threatening gastrointestinal bleeding from a typhoid ileal ulcer that was successfully managed with endoscopic therapy. Though rare, this infective cause of gastrointestinal bleeding should still be considered in differential diagnosis, especi...
Source
#1Zaid Imam (Beaumont Hospital)H-Index: 6
#2C. Roberto Simons-Linares (Cleveland Clinic)H-Index: 5
Last. Prabhleen Chahal (Cleveland Clinic)H-Index: 13
view all 3 authors...
Abstract Background Infectious etiologies of acute pancreatitis (AP) are rare and include viruses, bacteria, mycobacteria, parasites, and fungi. We aimed to conduct a comprehensive review on infectious etiologies of AP analyzing the frequency, clinical features, and outcomes of individuals presenting with this condition. Methods Eligible articles reporting on AP attributed to infectious etiologies were included. A comprehensive literature search of PubMed from time of inception and until Septemb...
2 CitationsSource