Introduction And Importance: Intestinal tuberculosis (TB) comprises of about 5 % of all cases of tuberculosis in susceptible communities. Intestinal tuberculosis establishes itself in the lymphoid follicles of the Peyer's patches and spreads to the submucosal and subserosal planes. A gastroduodenal location for TB is very rare even in patients with pulmonary TB and gastroduodenal TB lesions are usually secondary.
Case Presentation: A 48 year old Ethiopian patient presented with non-bilious, non-projectile vomiting of ingested matter which progressively worsens over time. Associated with this he had burning type of epigastric pain for which he had been treated with antiulcer drugs on multiple occasion, but he had no improvement. The vomiting worsened over the past year and he had unquantified but significant weight loss. Subsequently the patient was diagnosed with duodenal TB and was treated with antituberculous drugs according to the national protocol for six months and the above symptoms subsided. The patient had significant weight gain after starting treatment.
Clinical Discussion: The commonest site for gastro-intestinal tuberculosis (TB) is the ileocecal region and duodenal tuberculosis constitutes around 2 % of cases of abdominal tuberculosis. A high index of suspicion for tuberculosis is required in any patient with gastrointestinal symptoms living in endemic areas.
Conclusion: We suggest that a diagnosis of duodenal tuberculosis should always be considered in young patients presenting with gastric outlet obstruction (GOO) or unresponsive or relapsing dyspepsia, in areas where tuberculosis is endemic.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10070631 | PMC |
http://dx.doi.org/10.1016/j.ijscr.2023.108080 | DOI Listing |
Clin J Gastroenterol
November 2024
Royal North Shore Hospital, Reserve Road, St Leonards, NSW, 2065, Australia.
World J Clin Cases
November 2024
Department of Medicine, Section of Gastroenterology, Aga Khan University Hospital, Karachi 74800, Pakistan.
The worldwide burden of tuberculosis (TB) has increased and it can involve virtually any organ of the body. Intestinal TB accounts for about 2% of the cases of TB worldwide. The ileocecal region is the most commonly affected site, and the foregut is rarely involved.
View Article and Find Full Text PDFRev Esp Enferm Dig
September 2024
Gastroenterology , First Affiliated Hospital. China Medical University.
A 53-year-old man presented with abdominal pain and distension, accompanied with vomiting, and weight loss. Then he was treated with gastrointestinal decompression and enema, but the symptom of abdominal pain and distension continued with no relief. He had no drug or food allergies.
View Article and Find Full Text PDFJ Infect Dev Ctries
August 2024
Department for Gastroenterology, Military Medical Academy, Belgrade, Serbia.
Radiol Case Rep
November 2024
Department of Radiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!