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Results for “TUBERCULOSIS, GASTROINTESTINAL”

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At least 19 recordsLinked to original sources
PubMed2003

Gastrointestinal tuberculosis.

Gastrointestinal tuberculosis is defined as infection of the peritoneum, hollow or solid abdominal organs, and abdominal lymphatics with Mycobacterium tuberculosis organisms. Gastrointestinal tuberculosis is relatively rare in the United States and is the sixth most common extrapulmonary location. Populations at risk include immigrants to the United States, the homeless, prisoners, residents of long-term care facilities, and the immunocompromised. The peritoneum and the ileocecal region are the most likely sites of infection and are involved in the majority of cases by hematogenous spread or through swallowing of infected sputum from primary pulmonary tuberculosis. Pulmonary tuberculosis is apparent in less than half of patients. Patients usually present with abdominal pain, weight loss, fever, anorexia, change in bowel habits, nausea, and vomiting. The diagnosis is often delayed and is usually made through a combination of radiologic, endoscopic, microbiologic, histologic, and molecular techniques. Antimicrobial treatment is the same as for pulmonary tuberculosis. Surgery is occasionally required.

Antitubercular Agents↗
PubMed1976

Gastrointestinal tuberculosis.

Gastrointestinal tuberculosis continues to occur sporadically in hospitals in the British Isles. Accurate diagnosis may enable its rare but lethal complications to be anticipated. Pathology, clinical features and treatment are reviewed. The use of antituberculous chemotherapy and corticosteroids is discussed with reference to 14 cases of gastrointestinal tuberculosis seen in Southampton between 1951 and 1973.

Adrenal Cortex Hormones↗
PubMed1981

Pitfalls in the diagnosis of gastrointestinal tuberculosis.

Gastrointestinal tuberculosis is difficult to diagnose since it mimics many other abdominal conditions and has protean manifestations. The disease can present as an abdominal mass, bowel perforation, Crohn's disease and dysentery. These presentations are discussed with representative cases to illustrate the diagnostic difficulties. It is emphasized that to obviate the diagnostic pitfalls, tuberculosis should always be considered in the differential diagnosis of unusual gastrointestinal presentations particularly because radiological and laboratory tests may be noncontributory.

Abdominal Neoplasms↗
PubMed2000

Juvenile fulminant adnexal tuberculosis caused by gastrointestinal tuberculosis immediately after ovarian cystectomy.

Genital fulminant tuberculosis is rarely a primary site of infection. We report a case of juvenile adnexal tuberculosis possibly related to tuberculosis immediately after cystectomy in the ileocecal region in a virginal girl. A 13-year-old virginal girl visited our clinic because of a huge ovarian tumor, which was resected by cystectomy. On postoperative day 39, fever episodes were noted, and she received antibiotics, which were not effective. An abscess developed in the region of the cecum and the right adnexa. Laparotomy revealed chronic abscess formation, especially in the right adnexa. Resection of the abscess was done. The pathological diagnosis was tuberculosis with caseation, although bacterial culture and molecular biological diagnosis for Mycobacterium tuberculosis were negative in sputum, vaginal discharge, urine, and stool of the patient and her family. She was placed on anti-tuberculosis drugs, including isoniazid, rifampicin, and ethambutol, and this regimen was effective. This patient represents a rare case of fulminant adnexal tuberculosis without pulmonary disease.

Adnexa Uteri↗
PubMed1983

[Gastrointestinal tuberculosis--a diagnostic challenge].

Gastrointestinal tuberculosis has become a rare disease. Lesions are predominantly located in the ileocecal region, but all parts of intestinum can be involved. Occurrence in the esophagus is very rare. Protean manifestations often prevent an accurate diagnosis on time, especially if pulmonary symptoms are absent or misjudged. The further clinical course is determined by late complications of tuberculosis. We present 3 cases of gastrointestinal tuberculosis (two of esophagus, one of ileocecal region) in order to remind of this rare disease, which is associated with so many pitfalls.

Gastroscopy↗
PubMed1990

Gastrointestinal tuberculosis. Report of four cases.

Gastrointestinal tuberculosis is a rare disease in the United States. Correct identification is often delayed because it is not considered early on in the differential diagnosis. Four patients with gastrointestinal tuberculosis and the symptoms, diagnosis, complications, and treatment of the disease are discussed. Gastrointestinal tuberculosis should be considered in Asian immigrant patients who present with symptoms and signs of inflammatory bowel disease.

Adult↗
PubMed1986

Gastrointestinal tuberculosis.

In the developed countries gastrointestinal tuberculosis is no longer common in clinical practice. In this setting the importance of the condition lies in the vagaries of its presentation and the fact that it is eminently treatable, usually by a combination of chemotherapy and surgery. The clinical features and complications of gastrointestinal tuberculosis are highlighted by the seven cases which we report. Diagnosis and treatment of this condition is discussed and attention is drawn to the importance of case notification. Clinicians should bear in mind the diagnosis of gastrointestinal tuberculosis when dealing with any patient with non-specific abdominal symptoms.

Adult↗
PubMed1992

[Acute appendicitis and gastrointestinal tuberculosis with negative thoracic X-ray and positive sputum culture].

A case of gastrointestinal tuberculosis is presented with negative radiographic findings in the thorax and positive results of culture of the sputum. The value of radiographic examination of the thorax for demonstration of tuberculosis is briefly discussed on the basis of the literature. Normal radiographic findings in the thorax do not exclude gastrointestinal tuberculosis. Radiographic examination of the thorax only reveals active pulmonary tuberculosis in approximately 50% of the patients with gastrointestinal tuberculosis. Pulmonary tuberculosis with positive sputum culture can be demonstrated in up to 50% of the patients with gastrointestinal tuberculosis. Most frequently, demonstration of acid-fast rods or positive culture from biopsy specimens or material obtained at laparotomy cannot be anticipated. Opinions differ as to whether histological evidence of tuberculosis in the form of caseous granulomata occurs frequently in gastrointestinal tuberculosis. The greatest chance of demonstration is to be found in the lymph nodes draining the region concerned. This was the case in the patient presented here where caseous necrosis and epithelioid cell granulomata were demonstrated.

Acute Disease↗
PubMed1979

Radiographic manifestations of gastrointestinal tuberculosis.

Barium studies of a gastrointestinal tract and chest radiographs of 109 patients with gastrointestinal tuberculosis were investigated. The type and site of the tuberculous lesions in the bowel, as well as its association with pulmonary tuberculosis and surgical complications, were reviewed. The ileocecal region is the portion of the gastrointestinal tract most frequently involved. The ulcerohypertrophic type of tuberculous lesion was the most common. Thirty-two percent of the patients had a normal chest radiograph. Nineteen patients had a significant surgical complication. Fistulous tracts and intestinal perforation are rare. The radiographic differential diagnosis with regional enteritis and other forms of inflammatory bowel disease is discussed.

Adolescent↗
PubMed1998

[Gastrointestinal tuberculosis--an almost forgotten clinical picture].

Incidence of gastrointestinal tuberculosis increases in the western world. Exact epidemiological data about this rare extrapulmonological disease are not available in Hungary. Three advanced cases with intestinal tuberculosis have been reported, all of them recognised during surgery due to complications. The clinicopathological correlations are briefly reviewed, and the importance of early diagnosis is emphasized.

Adult↗
PubMed1989

Gastrointestinal tuberculosis: resurgence of an old pathogen.

Thirteen patients with gastrointestinal tuberculosis (GITB) were treated at our hospitals from 1977-1987. Ten of these patients were seen during the last four years. Three patients required operative intervention for management of complications of their disease. This review discusses the presentation, diagnosis, and operative management of GITB. The authors feel that the increasing prevalence of GITB noted in their institution is primarily the result of the growing prevalence of mycobacterium tuberculosis pneumonia across the nation. With the recent influx of patients from areas of endemic tuberculosis and the increasing number of immunosuppressed patients, a surge in the number of patients presenting with GITB is likely to occur in the United States. Surgeons must be conversant with the diverse clinical features and operative management of this disease.

Cecal Diseases↗
PubMed1985

Gastrointestinal tuberculosis. The great mimic still at large.

Gastrointestinal tuberculosis has declined markedly in frequency since the introduction of antituberculous therapy. As a result, the diagnosis is often delayed in North American patients. Segmental colonic disease, especially in the absence of pulmonary tuberculosis, is often difficult to differentiate from Crohn's disease or a neoplasm. We describe a case of colonic tuberculosis mimicking carcinoma of the hepatic flexure of the colon.

Barium Sulfate↗
PubMed1995

[Gastrointestinal tuberculosis as a rare cause of perforation of the ileum].

The gastrointestinal tuberculosis is a rare disease and it can mimic a large variety of gastrointestinal diseases. The most common site of gastrointestinal tuberculosis is the ileocoecal region followed by the ascending colon and jejunum. Complications are an absolute indication for surgical intervention. Perforation is an extremely uncommon complication of mycobacterium tuberculosis infection.

Adult↗