Epityphlitis

[JackBauERfan]

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woot, was on the National Spelling Bee today. Apparently means appendicitis...I guess you learn something new every day! Sad thing is I might have missed it...Might.

 

[JackBauERfan]

woot, was on the National Spelling Bee today. Apparently means appendicitis...I guess you learn something new every day! Sad thing is I might have missed it...Might.

Also, I thought the commentary on world poker tour was funny when they would go nuts over pocket aces, but today watching the spelling bee, one kid spelled without even thinking, and the announcer said that he spelled it with "conviction" and that it was a statement he was making to the other contestants....the kid was like 11 years old!

 

[Apollyon]

I never had even heard the word "typhlitis" until I was in the MICU last year, and that was a minor bone of contention (hell, I thought, when they were saying it, it was "teflitis") - inflammation of the terminal ileum? I though that that was "ileitis".

edit: it means "inflammation of the cecum", and may include the appendix and terminal ileum. Hmm!

 

[JackBauERfan]

I never had even heard the word "typhlitis" until I was in the MICU last year, and that was a minor bone of contention (hell, I thought, when they were saying it, it was "teflitis") - inflammation of the terminal ileum? I though that that was "ileitis".

edit: it means "inflammation of the cecum", and may include the appendix and terminal ileum. Hmm!

cool I don't feel so bad now not knowing it haha.. but really all the normal medical books I read, I haven't seen it named that, maybe its in the specific GI books.

 

[BKN]

cool I don't feel so bad now not knowing it haha.. but really all the normal medical books I read, I haven't seen it named that, maybe its in the specific GI books.

It's a fairly archaic term. Prior to surgery for appendicitis, people died of it, usually with a perforation and abscess that made it difficult to tell at autopsy that the original source was the appendix. So it was called typhilitis. Sometimes it was clearer and in that case it was called peri- or epityphilitis.

with the description of appendiceal surgery (latter half of nineteeenth century), most of this went away. However, there still are a few cases of cecal inflammation that are neither appendicitis nor cecal ca. Presumably some of it is Crohn's. Old f--ts like me might call it typhilitis.

 

[DrQuinn]

I wonder if it comes from the same root word as typhoid fever? Typhoid Mary was the early 1900's though, so it sounds like it might have been too late.

Q

 

[BKN]

I wonder if it comes from the same root word as typhoid fever? Typhoid Mary was the early 1900's though, so it sounds like it might have been too late.

Q

It does. typhoid, typhus, typhilitis, appendicitis are all similar in presentation and were grouped together prior to late 19th century. You can still find it as "enteric fever" in the typhoid chapter of harrison's. Basically it was an acutre syndrome of abdominal pain and fever with either constipation or diarrhea. Fatal if caused by one of the previous, survivable if viral.

 

[Homunculus]

typhlitis is a real life boogeyman for us peds types. heme/onc'ers can scare the bejeezus outta you with acute chest and tumor lysis syndrome (among other things) but typhlitis is always lurking.

neutropenic fever with abd pain =

--your friendly neighborhood once placed 3rd in a spelling bee 👍 caveman

 

[JkGrocerz]

one of my last patients of medical school had typhlitis (or neutropenic colitis)