title: Typhoid fever with caecal ulcer bleed: managed conservatively.
abstract: Typhoid fever is caused by enteroinvasive Gram-negative organism Salmonella typhi. The well-known complications of typhoid fever are intestinal haemorrhage and perforation. In the pre-antibiotic era, these complications were quite common, but in the current antibiotic era the incidence of these complications is on the decline. We report a case of a patient with typhoid fever who developed haematochezia during the hospital stay and was found to have caecal ulcer with an adherent clot on colonoscopy. He was managed successfully with conservative measures without endotherapy and there was no rebleed.
authors.affiliation: Department of Gastroenterology, Pondicherry Institute of Medical Sciences, Pondicherry, India.
authors.forename: Vinoth
authors.initials: V
authors.lastname: Boopathy
authors.forename: Sivakumar
authors.initials: S
authors.lastname: Periyasamy
authors.forename: Thomas
authors.initials: T
authors.lastname: Alexander
authors.forename: Padhmini
authors.initials: P
authors.lastname: Balasubramanian
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001803:Blood Transfusion; D002429:Cecal Diseases / Q000382:microbiology* / Q000628:therapy; D002443:Ceftriaxone / Q000627:therapeutic use; D003113:Colonoscopy; D006471:Gastrointestinal Hemorrhage / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D008297:Male; D014435:Typhoid Fever / Q000150:complications* / Q000188:drug therapy; D014456:Ulcer / Q000382:microbiology* / Q000628:therapy; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone