title: [Surgical therapy of intestinal complications in abdominal typhus].
abstract: At our clinic 185 patients with severe typhoid fever were treated. In 51 cases severe complications required a surgical therapy: 24 times bleeding of small or large intestine, 14 times perforation of the bowel and 13 times acute typhoid cholecystitis. Lethality of typhoid peritonitis with perforation is nowadays--inspite of specific therapy with antibiotics--still between 40% and 50%; lethality at our clinic was 37.5%. Dangerous complications are bleeding and re-perforation, which require an aggressive surgical procedure.
mesh_terms: D002701:Chloramphenicol / Q000627:therapeutic use; D002764:Cholecystitis / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery; D010538:Peritonitis / Q000209:etiology*; D014435:Typhoid Fever / Q000150:complications* / Q000188:drug therapy
chemical_list: D002701:Chloramphenicol
vernacular_title: Chirurgische Therapie intestinaler Komplikationen bei Typhus abdominalis.