Typhoid Perforation Associated With Rectal Bleeding in HIV- Infected Patient

Typhoid (enteric) fever is a common worldwide water-borne disease generally transmitted via the faecal-oral route, the causative organism being the bacterium salmonella typhi. Intestinal perforation is a serious complication but the preoperative diagnosis of typhoid ulcer perforation can be difficult. The high incidence ofperforation has been attributed to late diagnosis and the emergence of multi-drug resistant and virulent strains of salmonella typhii. We report the simultaneous occurrence of intestinal perforation and bleeding complicating typhoid fever in a 42- year old Human immunodeficiency virus (HIV) infected patient.Both complications were simultaneouslytreated by an emergency ileo-caecal resection alongside antibiotic treatment of typhoid.