Massive lower gastrointestinal bleeding attributable to heavy whipworm infection and Salmonella typhi co-infection: a case report.
Massive lower gastrointestinal bleeding due to trichuriasis and/or typhoid fever is rarely reported. We reported a case of a 29-year-old male presented with per rectal bleeding, diarrhea, generalized abdominal pain and fever for two weeks. After diagnosis suspicion, emergency exploratory laparotomy was performed, where resection of the ulcerated part of the caecum and terminal ileum was performed. Microscopically analysis, diagnosed heavy infestation with Trichuris trichiura. It was complicated with Salmonella typhi infection confirmed later from the blood culture result.
Nimir
Amal Rashad
AR
Department of Parasitology & Entomology, Universiti Kebangsaan, Malaysia. aralmadi@yahoo.com
Aziz
Mohamad Salleh Bin Abdul
MS
Tan
Geok Chin
GC
Shaker
Abdul Rahman Hikmet
AR