Euroasian journal of hepato-gastroenterology

Register      Login

VOLUME 14 , ISSUE 1 ( January-June, 2024 ) > List of Articles

CASE SERIES

Colonoscopy Findings of Uncomplicated Enteric Fever Mimicking Koch's Disease

Anushka Verma, Amol S Dahale, Prashant Gopal, Suruchi Mandrekar, Reshu Aggrawal, Nanda Kachare

Keywords : Colonoscopy, Enteric fever, Tuberculosis

Citation Information : Verma A, Dahale AS, Gopal P, Mandrekar S, Aggrawal R, Kachare N. Colonoscopy Findings of Uncomplicated Enteric Fever Mimicking Koch's Disease. Euroasian J Hepatogastroenterol 2024; 14 (1):120-123.

DOI: 10.5005/jp-journals-10018-1417

License: CC BY-NC 4.0

Published Online: 12-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Enteric fever is a common occurrence in Southeast Asia with a myriad of presentations. Partial treatment often leads to prolonged illness. Along with this, bowel imaging often confounds the picture with tuberculosis. Colonoscopy and biopsy may help to differentiate from tuberculosis. The data on colonoscopy is scarce in enteric fever and is mostly available from case reports of gastrointestinal (GI) bleeding. We have described three cases of enteric fever with GI involvement mimicking tuberculosis. The colonoscopy picture is characteristic of pinkish-bluish ileal mucosa, with edema and decreased distensibility, along with multiple superficial ulcers. The ileocecal valve was involved in all three cases. The ascending colon was involved in two cases. There was complete resolution of lesions after treatment on follow-up.


PDF Share
  1. GBD 2017 Typhoid and Paratyphoid Collaborators. The global burden of typhoid and paratyphoid fevers: A systematic analysis for the Global Burden of Disease Study 2017. Lancet Infect Dis 2019;19(4):369–381. DOI: 10.1016/S1473-3099(18)30685-6.
  2. Azmatullah A, Qamar FN, Thaver D, et al. Systematic review of the global epidemiology, clinical and laboratory profile of enteric fever. J Glob Health 2015;5(2):020407. DOI: 10.7189/jogh.05.020407.
  3. Basnyat B, Qamar FN, Rupali P, et al. Enteric fever. BMJ 2021;372:n437. DOI: 10.1136/bmj.n437.
  4. Hennedige T, Bindl DS, Bhasin A, et al. Computed tomography features in enteric fever. Ann Acad Med Singap 2012;41(7):281–286. PMID: 22892604.
  5. Aamer S, Ahmed S, Ahmed K, et al. Massive gastrointestinal hemorrhage secondary to typhoid fever. Cureus 2021;13(8):e17552. DOI: 10.7759/cureus.17552.
  6. Lee JH, Kim JJ, Jung JH, et al. Colonoscopic manifestations of typhoid fever with lower gastrointestinal bleeding. Dig Liver Dis 2004;36(2):141–146. DOI: 10.1016/j.dld.2003.10.013.
  7. Cho JH. Successful endoscopic hemoclipping and conservative management for typhoid fever complicated by massive intestinal bleeding and acute pancreatitis: Case report. Medicine (Baltimore) 2019;98(31):e16521. DOI: 10.1097/MD.0000000000016521.
  8. Sonavane AD, Gupta D, Parmar T, et al. Typhoid ulcer related massive gastrointestinal bleeding successfully treated with endoscopic therapy. Egypt J Intern Med 2020;32(1). DOI: https://doi.org/10.1186/s43162-020-00004-1.
  9. Cheung C, Merkeley H, Srigley JA, et al. Ileocecal ulceration and granulomatous ileitis as an unusual presentation of typhoid fever. CMAJ 2012;184(16):1808–18010. DOI: 10.1503/cmaj.120714.
  10. Bharadwaj S, Anim JT, Ebrahim F, et al. Granulomatous inflammatory response in a case of typhoid fever. Med Princ Pract 2009;18(3): 239–241. DOI: 10.1159/000204357.
  11. Murinello A, Morbey A, Coelho JF, et al. Typhoid fever-clinical and endoscopic aspects. J Português de Gastrenterologia 2008;15(2): 76–82.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.