title: Massive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature review.
abstract: We present a case of massive lower gastrointestinal hemorrhage secondary to Salmonella enterica subtype Typhi (S. Typhi) colitis, in a 29 year-old female treated for S. Typhi bacteremia. One week post-treatment, she unexpectedly developed a large volume of rectal bleeding. Endoscopy showed colonic ulcers and ileitis, but no endoscopic hemostasis was required. Treatment was supportive with transfusions and a prolonged course of antimicrobials, with the bleeding stopping spontaneously. This case illustrates the phenomenon of delayed lower gastrointestinal hemorrhage, as a rare complication of S. Typhi infection.
authors.affiliation: Department of Haematology-Oncology, National University Cancer Institute, National University Healthcare System, Singapore.
authors.forename: Sanjay
authors.initials: S
authors.lastname: De Mel
authors.affiliation: Department of Gastroenterology & Hepatology, University Medical Cluster, National University Healthcare System, Singapore.
authors.forename: Reuben K
authors.initials: RK
authors.lastname: Wong
keywords: Colitis; Lower gastrointestinal hemorrhage; Salmonella Typhi