Khalaf Yasmeen J, Alagha Rawan
Surgery, Salmaniya Medical Complex, Manama, BHR.
Infectious Diseases, Salmaniya Medical Complex, Manama, BHR.
Cureus. 2023 Jun 20;15(6):e40672. doi: 10.7759/cureus.40672. eCollection 2023 Jun.
Typhoid fever is a systemic illness that often presents with fever, abdominal pain, and diarrhea. There are multiple complications associated with typhoid fever which includes intestinal perforation, gastrointestinal hemorrhage, hepatitis, and anemia. In recent years, a new extensively drug resistant (XDR) strain of emerged, associated with higher incidence of complications, responding to azithromycin and carbapenems only. In this article, we report a case of a 28-year-old Pakistani male who initially presented with fever and bloody diarrhea, complicated by massive lower gastrointestinal bleed, leading to his mortality. This case, being the first reported case in Bahrain, illustrates the importance of considering hepatic manifestations and lower gastrointestinal bleeding as fatal complications of typhoid fever, especially in the setting of recent travel to Southeast Asia.
伤寒热是一种全身性疾病，常表现为发热、腹痛和腹泻。伤寒热有多种并发症，包括肠穿孔、胃肠道出血、肝炎和贫血。近年来，出现了一种新的广泛耐药（XDR）菌株，其并发症发生率更高，仅对阿奇霉素和碳青霉烯类药物有反应。在本文中，我们报告了一例28岁的巴基斯坦男性病例，该患者最初表现为发热和血性腹泻，并发大量下消化道出血，最终导致死亡。该病例是巴林首例报告病例，说明了将肝脏表现和下消化道出血视为伤寒热致命并发症的重要性，尤其是在近期前往东南亚旅行的情况下。
