Thandassery Ragesh Babu, Sharma Manik, Abdelmola Abdellatif, Derbala Moutaz F M, Al Kaabi Saad Rashid
Department of Gastroenterology and Hepatology, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Qatar Med J. 2014 Jun 16;2014(1):46-9. doi: 10.5339/qmj.2014.7. eCollection 2014.
Enteric fever is a systemic illness with varying presentation. It is an important infectious disease in developing countries and also in industrialized countries where many migrants reside. Enteric fever can result in complications in different organ systems and delay in identification and prompt treatment can be fatal. The important gastrointestinal complications of enteric fever include hepatitis, intestinal ulcers, bleeding and bowel perforation. We report three relatively uncommon complications of enteric fever in Qatar, a non-endemic country, ileal ulcer presenting with hematochezia; duodenal ulcer with polyserositis, cholestatic hepatitis and bone marrow suppression; enteric fever related peritonitis.
伤寒是一种临床表现多样的全身性疾病。在发展中国家以及有许多移民居住的工业化国家,它都是一种重要的传染病。伤寒可导致不同器官系统出现并发症,若延误识别和及时治疗可能会致命。伤寒重要的胃肠道并发症包括肝炎、肠道溃疡、出血和肠穿孔。我们报告了在非伤寒流行国家卡塔尔出现的三种相对罕见的伤寒并发症:表现为便血的回肠溃疡;伴有多浆膜炎、胆汁淤积性肝炎和骨髓抑制的十二指肠溃疡;伤寒相关性腹膜炎。