血便をきたした腸チフスの1例

川上 浩平; 五頭 三秀; 日高 道生; 石川 尚之; 石塚 大輔; 平良 悟; 宮沢 秀明; 金田 繁樹; 渡辺 浩一; 須藤 一郎; 宮岡 正明; 森安 史典

doi:10.11641/pde.58.2_118

Case report

A Case of Typhoid Fever with Bloody Stool

Kohei Kawakami, Mitsuhide Gotoh, Michio Hidaka, Takayuki Isikawa, Daisuke Isizuka, Satoru Taira, Hideaki Miyazawa, Sigeki Kaneda, Kouichi Watanabe, Ichirou Sudoh, Masaaki Miyaoka, Fuminori Moriyasu

Author information

Kohei Kawakami
Fourth Department of Internal Medicine, Tokyo Medical college
Mitsuhide Gotoh
Fourth Department of Internal Medicine, Tokyo Medical college
Michio Hidaka
Fourth Department of Internal Medicine, Tokyo Medical college
Takayuki Isikawa
Fourth Department of Internal Medicine, Tokyo Medical college
Daisuke Isizuka
Fourth Department of Internal Medicine, Tokyo Medical college
Satoru Taira
Fourth Department of Internal Medicine, Tokyo Medical college
Hideaki Miyazawa
Fourth Department of Internal Medicine, Tokyo Medical college
Sigeki Kaneda
Fourth Department of Internal Medicine, Tokyo Medical college
Kouichi Watanabe
Fourth Department of Internal Medicine, Tokyo Medical college
Ichirou Sudoh
Fourth Department of Internal Medicine, Tokyo Medical college
Masaaki Miyaoka
Fourth Department of Internal Medicine, Tokyo Medical college
Fuminori Moriyasu
Fourth Department of Internal Medicine, Tokyo Medical college

JOURNAL FREE ACCESS

2001 Volume 58 Issue 2 Pages 118-119

DOI https://njjn-jsjc-gov-cn-s-1416.res.gxlib.org.cn:443/rwt/1416/https/MSYXTLUQPJUB/10.11641/pde.58.2_118

Details

Abstract

54-year-old male had a two-day trip to Korea from March 24-26, 2000. He developed common cold-like symptoms from April 10, 2000. On April 15, the patient had a fever of 38-39℃, and his symptoms did not improve irrespective of medication. Diarrhea and bloody stool began on April 19, and he visited our hospital the following day. Colonoscopy performed immediately and revealed multiple undermining ulcers with peripheral mucosa showing an edematous elevation that located at the terminal ileum. And one of ulcer hemostais was carried out with henwclip device and local injective of HSE and clipping was conducted. After admission, the high fever continued. Blood cultures detected Salmonella typhi.
Patients with high fever with bloody stool and colonoscopy reveals multiple undermining ulcers at the terminal ileum, it is important to suspect typhoid fever and to examine blood culture. There were 7 cases of typhoid fever conformed ideal ulcer by endoscope which is during there 30 years.

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