Pediatrics, Indraprastha Apollo Hospital, New Delhi, India
Pediatric Gastroenterology and Hepatology, Indraprastha Apollo Hospital, New Delhi, India.
BMJ Case Rep. 2023 Feb 9;16(2):e249531. doi: 10.1136/bcr-2022-249531.
In tropical countries, like India, various types of infectious diseases like tuberculosis, enteric fever, malaria and dengue are prevalent. Disease trend over time has been gradually shifting from infective to inflammatory frame because of increasing awareness regarding hygiene and increasing immunisation coverage. This case report describes an adolescent boy having a long history of abdominal pain, bleeding per rectum and documented weight loss, presented with an acute episode of fever. But the coexisting infections and/or inflammatory conditions presented challenges to the treating physician in diagnosis and management despite of good clinical experience. In this case, a chronic gastrointestinal infection caused by with a superadded Salmonella typhi infection was masquerading as inflammatory bowel disease (Crohn's disease). Utmost caution should be exercised to reach the correct diagnosis and take the necessary steps to manage this type of situation in tropical countries like India.
在印度等热带国家，结核病、肠热病、疟疾和登革热等各种传染病较为流行。由于人们对卫生的认识不断提高，免疫接种覆盖率不断增加，疾病的流行趋势逐渐从感染性疾病向炎症性疾病转变。本病例报告描述了一名青少年男性，长期腹痛、直肠出血和体重减轻，因急性发热就诊。但共存的感染和/或炎症状况给治疗医生的诊断和治疗带来了挑战，尽管他们有丰富的临床经验。在这种情况下，由 引起的慢性胃肠道感染，合并伤寒沙门氏菌感染，表现为炎症性肠病（克罗恩病）。在印度等热带国家，应格外小心，以做出正确诊断，并采取必要措施来处理这种情况。
