A man, with 4 weeks history of the typhoid, presented with symptoms of acute abdomen. He died soon of intoxication. At post-mortem a pathologist found a perforation of iliac wall and diffuse purulent peritonitis. For what stage of disease the described complication is characteristic?

GENERALISED LYMPHADENOPATHY

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A man, with 4 weeks history of the typhoid, presented with symptoms of ‘acute abdomen’. He died soon of intoxication. At post-mortem a pathologist found a perforation of iliac wall and diffuse purulent peritonitis. For what stage of disease the described complication is characteristic?

A	Stage of pure ulcers
B	Stage of a medullar swelling
C	Necrotic stage
D	Stage of healing of ulcers

Explanation:

Detailed explanation-1: -Typhoid complications include typhoid intestinal perforation (TIP), gastrointestinal hemorrhage, hepatitis, cholecystitis, myocarditis, shock, encephalopathy, pneumonia, and anemia. TIP and gastrointestinal hemorrhage are serious complications that are often fatal, even if managed surgically.

Detailed explanation-2: -Decisions on empirical antibiotic treatment and advice on hygiene measures in patients with suspected (para)typhoid fever should take into account chills and absence of cough in the first week of fever and delirium in the second week of illness.

Detailed explanation-3: -Perforation. Perforation is potentially a very serious complication. This is because bacteria that live in your digestive system can move into your stomach and infect the lining of your abdomen (the peritoneum). This is known as peritonitis.

There is 1 question to complete.

MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY