The Scourge of Typhoid in Sub-Saharan Africa: A Rare Case of Symmetrical Lower Limb Gangrene with Colonic Perforation

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Typhoid fever remains a major public health concern in Sub-Saharan Africa, with its complications contributing significantly to morbidity and mortality. While gastrointestinal perforation is a recognised complication, the development of symmetrical peripheral gangrene is exceedingly rare and poorly understood. We present a unique and severe case of typhoid fever complicated by colonic perforation and symmetrical lower limb gangrene in a young male adult.