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Jeon HJ, Marks F, Sugimoto J, Im J, Kang SS, Haselbeck A, Rakotozandrindrainy R. Surge of Typhoid Intestinal Perforations as Possible Result of COVID-19-Associated Delays in Seeking Care, Madagascar. Emerg Infect Dis 2021; 27:3163-3165. [PMID: 34808080 PMCID: PMC8632171 DOI: 10.3201/eid2712.210516] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
During the coronavirus disease pandemic, we observed a 6.4-fold increase in typhoid intestinal perforation incidence in Antananarivo, Madagascar. Thirteen perforations occurred within 6 months (February 2020–July 2020), compared with 13 perforations during the previous 41 months (August 2016–January 2020). The increase may be attributable to delayed healthcare seeking during the pandemic.
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Maeda S, Takaori K. Small intestinal perforation caused by folded polyethylene drug-wrapping film. J Gen Fam Med 2021; 22:225-226. [PMID: 34221799 PMCID: PMC8245736 DOI: 10.1002/jgf2.421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 01/07/2021] [Accepted: 01/17/2021] [Indexed: 11/25/2022] Open
Affiliation(s)
- Sayako Maeda
- Division of Nephrology Department of Internal Medicine Japanese Red Cross Otsu Hospital Otsu Japan
| | - Koji Takaori
- Division of Nephrology Department of Internal Medicine Japanese Red Cross Otsu Hospital Otsu Japan
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Abstract
Behçet's disease accompanied by intestinal involvement is called intestinal Behçet's disease. The intestinal ulcers of Behçet's disease are usually multiple and scattered and tend to perforate easily, so that many patients require emergency operation. The aim of this study is to determine the extent of surgical resection necessary to prevent reperforation and to point out the findings of concurrent oral and genital ulcers and multiple intestinal perforations in all patients of our series. During a 25-year study period, information of 125 Behçet's disease cases was gathered. Among the 82 patients who were diagnosed with intestinal Behçet's disease, 22 cases had intestinal perforations needing emergency laparotomy. We investigated and analyzed these cases according to the patients' demographic characteristics, clinical presentations, laboratory data, and surgical outcome. There were 14 men and 8 women ranging from 22 to 65 years of age. Nine cases were diagnosed preoperatively, and the diagnoses were confirmed in all 22 cases during the surgical intervention. Surgical resection was performed in every patient, with right hemicolectomy and ileocecal resection in 11 cases, partial ileum resection in 8 cases with two reperforations, and ileocecal resection in 3 cases with one reperforation.
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Affiliation(s)
- Shao-Jiun Chou
- Division of General Surgery, Department of Surgery, Cardinal Tien Hospital, 362, Chung Cheng Rd., Hsintien, Taipei Hsien, 23137 Taiwan
- Fu Jen Catholic University, Taipei, Taiwan
- Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
| | - Victor Tze-Kai Chen
- Division of General Surgery, Department of Surgery, Cardinal Tien Hospital, 362, Chung Cheng Rd., Hsintien, Taipei Hsien, 23137 Taiwan
- Fu Jen Catholic University, Taipei, Taiwan
- Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
| | - Hsiang-Chun Jan
- Division of General Surgery, Department of Surgery, Cardinal Tien Hospital, 362, Chung Cheng Rd., Hsintien, Taipei Hsien, 23137 Taiwan
| | - Mary Ann Lou
- Division of General Surgery, Department of Surgery, Cardinal Tien Hospital, 362, Chung Cheng Rd., Hsintien, Taipei Hsien, 23137 Taiwan
- Fu Jen Catholic University, Taipei, Taiwan
| | - Yi-Ming Liu
- Division of General Surgery, Department of Surgery, Cardinal Tien Hospital, 362, Chung Cheng Rd., Hsintien, Taipei Hsien, 23137 Taiwan
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