Typhoid fever is one of the important infectious diseases in our country. The overall mortality rate of typhoid fever is much lower since the discovery of chloramphenicol. With the inappropriate use of antibiotics and inadequate treatment, the resistant strains of salmonella typhosa have developed and the increased incidence of complications of the typhoid fever has been reported which required surgical management.
A clinical study was done on 35 cases of typhoid bleeding and 43: cases of perforation out of total 263 cases of typhoid fevers, being admitted to the Presbyterian Medical Center in Taegu, Korea from January, 1972 to June,. 1974.
1) Rencently the incidence of bleeding typhoid ulcers has been increasing.
2) The bleeding ulcers were found in 13.4% and the perforation in 16.3% of the cases.
3) The occurrence of typhoid fever was most frequent during summer season.
4) The sex ratio between male and female was 1.1:1.
5) In 50% of the cases of bleeding ulcers the amount of blood loss was less than 1, 000m1.
6) The free air was detectable in 41.2% of perforated cases.
7) The results of Widal reaction was positive in 70% of the cases.
8) The duration from febrile illness to perforation was most commonly between 1 week and 2
weeks (46.5%). The duration from febrile illness to bleeding was most commonly between 1
week and 2 weeks. (37.2%).
9) Three types of operative methods were used: wedge resection and primary closure (41.1%), segmental resection and end to end anastomosis (51.8%), and right hemicolectomy and ileotransversecolostomy (7.1%).
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