Tifoya bağlı masif alt gastrointestinal kanama
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Date
2006-11-08
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Uludağ Üniversitesi
Abstract
Tifo Salmonella Typhi’nin neden olduğu sistemik bir hastalıktır. Ateş, baş ağrısı, kırgınlık, iştahsızlık, relatif bradikardi, konstipasyon veya diyare ile karakterizedir. Gastrointestinal kanama tifonun major intestinal komplikasyonlarından birisidir. Bununla beraber tifoya bağlı masif alt gastrointestinal kanama literatürde nadir olarak bildirilmiştir. Masif alt gastrointestinal kanama ayırıcı tanısına bu hastalığın da dahil edilmesi önemlidir. Tifoya bağlı intestinal kanamanın tedavisinde klasik yaklaşım konservatiftir. Konservatif tedaviye yanıt vermeyen hastalarda acil rezeksiyon düşünülmelidir. Burada, tifoya bağlı masif alt intestinal kanamanın görüldüğü ve konservatif olarak tedavi edilen bir olguyu sunduk.
Typhoid fever is a systemic infection caused by the bacterium Salmonella Typhi. It is characterized by fever, headache, malaise, anorexia, relative bradycardia, constipation or diarrhea. Gastrointestinal bleeding is one of the major intestinal complication of typhoid fever. However, typhoid fever complicated by massive lower gastrointestinal bleeding has rarely been reported in the literature. It is important to include this disease in the differential diagnosis of massive lower gastrointestinal haemorrhage. The classic approach to the management of intestinal haemorrhage due to typhoid infection has been conservative. In the event of massive haemorrhage which does not respond to conservative measures, emergency resection should be considered. Here, we present a case of typhoid fever complicated by massive lower intestinal bleeding and treated conservatively by medical agents.
Typhoid fever is a systemic infection caused by the bacterium Salmonella Typhi. It is characterized by fever, headache, malaise, anorexia, relative bradycardia, constipation or diarrhea. Gastrointestinal bleeding is one of the major intestinal complication of typhoid fever. However, typhoid fever complicated by massive lower gastrointestinal bleeding has rarely been reported in the literature. It is important to include this disease in the differential diagnosis of massive lower gastrointestinal haemorrhage. The classic approach to the management of intestinal haemorrhage due to typhoid infection has been conservative. In the event of massive haemorrhage which does not respond to conservative measures, emergency resection should be considered. Here, we present a case of typhoid fever complicated by massive lower intestinal bleeding and treated conservatively by medical agents.
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Keywords
Tifo, Masif gastrointestinal kanama, Typhoid fever, Massive gastrointestinal bleeding
Citation
Kaya, T. vd. (2006). "Tifoya bağlı masif alt gastrointestinal kanama". Uludağ Üniversitesi Tıp Fakültesi Dergisi, 32(3), 99-102.