A rare cause of malnutrition: Intestinal tuberculosis
Abstract
Abstract
Extrapulmonary manifestations of tuberculosis are an uncommon. Intestinal tuberculosis (ITB) is rare, but it remains a life-threatening disease unless diagnosed. Due to the lack of specific signs and symptoms, diagnosis of ITB can be difficult. A 27-year-old Turkish woman was admitted to our clinic with a 6-month history of abdominal pain, fever and weight loss. Colonoscopy was performed. At colonoscopy, there was detected in the mucosal lesions in the terminal ileum and caecum. On colonoscopy, deformed ileocaecal valve, strictures in caecum and terminal ileum, mucosal nodules were detected. Multiple biopsy specimens were taken from the active lesion. The diagnosis was made by demonstration of acid-fast bacilli and epithelioid cell granulomas in the colonoscopic biopsy specimens. The lesion was diagnosed as ITB. Quadruple therapy with anti-TBC drugs for 1 year was ordered. The patient was discharged from hospital two months without any other complications. Intestinal TB is a treatable and curable illness.
Keywords: İntestinal tuberculosis, malnutrition, diagnosis
Özet
Tüberkülozun ekstrapulmoner manifestasyonları nadirdir. İntestinal tüberküloz (İTB) nadir olmasına rağmen tanı konmadığı zaman hayatı tehdit edebilir. Spesifik bulgu ve semptomlarının olmamasından dolayı İTB’ nin tanısı zor olabilmektedir. Yirmi yedi yaşında kadın hasta 6 aydır süren karın ağrısı, ateş ve kilo kaybı şikayetleriyle kliniğimize kabul edildi. Kolonoskopi yapıldı. Kolonoskopide terminal ileum ve çekumda mokuzal lezyonlar tespit edildi. Kolonoskopide deforme ileoçekal valv, striktürler, mukozal nodüller tespit edildi. Aktif lezyonlardan çok sayıda biyopsiler alındı. Biyopside aside dirençli basil ve epiteloid granumlar görüldü. Hastaya İTB tanısı konuldu. Bir yıl sürmesi planlanan dörtlü anti-TBC ilaç tedavisi başlandı. Hasta her hangi bir komplikasyon olmadan iki ay sonra taburcu edildi. İTB tamamen tedavi edilebilir bir hastalıktır.
Anahtar sözcükler: İntestinal tüberküloz, malnütrisyon, tanıKeywords
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Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
January 29, 2013
Submission Date
January 29, 2013
Acceptance Date
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Published in Issue
Year 2013 Volume: 35 Number: 3