KUMJ | VOL. 21 | NO. 4 | ISSUE 84 | OCTOBER - DECEMBER, 2023

Typhoid Intestinal Perforations in Turkey
Kalemoglu E, Kalemoglu M

Abstract:
Typhoid fever is a systemic infection caused by Salmonella Typhi. One of the most serious complications is intestinal perforation due to inflammation of the terminal ileum. In this study, we aimed to examine three cases with intestinal perforation that developed during a typhoid epidemic in terms of clinical, laboratory findings and treatment follow-up. The patients were in the 20-22 age groups and are male patients. Fever, malaise, and loss of appetite were the complaints encountered in all cases. During admission, the clinical and laboratory findings were hepatomegaly in two cases, abdominal tenderness in three, leukocytosis, and elevated serum transaminases. Gruber-Widal agglutination positivity was detected in all cases. It was found that mortality and morbidity decreased with early diagnosis, appropriate medical and surgical intervention (primary repair or resection and anastomosis) combined with serious intensive care is lifesaving in the point of therapy, and be careful at reperforations could develop even during medical treatment.
Keyword : Intestinal perforation, Ileal perforation, Salmonella Typhi, Typhoid fever