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Typhoid glomerulonephritis and intestinal perforation in a Nigerian child.
[typhoid]
The
number
of
children
with
renal
complications
following
salmonella
infection
can
not
be
precisely
defined
in
the
sub-
Saharan
Africa
due
to
scarcity
of
reliable
data
.
We
report
a
3
-
year
-old
boy
with
glomerulonephritis
secondary
to
typhoid
infection
and
later
intestinal
perforation
.
He
presented
with
fever
,
generalized
body
swelling
,
oliguria
,
coke-
colored
urine
and
hypertension
and
had
been
managed
3
weeks
earlier
for
typhoid
fever
in
a
private
hospital
.
Laboratory
investigations
showed
proteinuria
,
hematuria
with
red
cell
casturia
and
azotemia
.
Abdominal
X-
ray
done
was
suggestive
of
typhoid
intestinal
perforation
that
was
confirmed
at
exploratory
laparotomy
.
He
was
managed
aggressively
with
antibiotics
and
was
discharged
on
the
25
th
day
of
admission
.
To
the
best
of
our
knowledge
,
this
is
the
first
documented
case
report
of
acute
glomerulonephritis
and
intestinal
perforation
as
co
-
complications
of
salmonella
infection
in
Nigeria
.
