Peritonitis aguda Generalizada posterior a la Perforación Intestinal de Origen Tifico

Abstract

With all the progress in the diagnostic field, mortality associated with severe secondary peritonitis is still very high. Currently Salmonellosis is maintained with high figures especially in sectors where there is no access to good sanitation. One of the complications is the perforation lethal typhus.

It is important to identify critical points during the care of patients with complicated Salmonellosis and also seeks to define preventive properties in primary care, suspected cases of salmonellosis.

The case of female patient 24 years of age is presented APP: recurrent diarrhea for several years Episodes (Typhoid). Has abdominal pain of 2 months evolution located in epigastric postprandial immediately vomited 3 times daily, liquid diarrheal stools, fetid; thermal rise, intensifies box and is accompanied by difficulty in ambulation. Management is decided, he entered the ICU, required to achieve better conditions subsequent interventions. It required making ileostomy. It evolved favorably, it is discharged with regular checks by the Department of General Surgery.

Could define parameters for improvement in some organizational aspects of health and how involved in the proper management and treatment protocols have our average level of primary care in order to have a better therapeutic decision-making. Prediction and timely implementation of supportive measures represent the essence to increase survival and reduce mortality.