Bharadwaj S, Anim J T, Ebrahim F, Aldahham A
Department of Histopathology, Mubarak Al Kabeer Hospital, Kuwait.
Med Princ Pract. 2009;18(3):239-41. doi: 10.1159/000204357. Epub 2009 Apr 6.
To present a case of culture-proven typhoid fever in which granulomas were demonstrated histologically in the ileum and mesenteric lymph nodes.
A 47-year-old Pakistani man underwent emergency hemicolectomy for severe bleeding per rectum associated with diarrhea. Two large ulcers in the ileum, near the ileocolic junction, as well as mesenteric lymph nodes showed both necrotizing and non-necrotizing granulomas in addition to mixed inflammatory infiltrate on histology.
Typhoid fever may be considered as one of the causes of the differential diagnoses of granulomatous inflammation of the small intestine.
报告一例经培养证实的伤寒热病例，该病例在回肠和肠系膜淋巴结中经组织学证实存在肉芽肿。
一名47岁的巴基斯坦男子因与腹泻相关的严重直肠出血接受了急诊半结肠切除术。回肠末端回盲部附近的两个大溃疡以及肠系膜淋巴结在组织学上除了有混合性炎性浸润外，还显示出坏死性和非坏死性肉芽肿。
伤寒热可被视为小肠肉芽肿性炎症鉴别诊断的病因之一。
