Colonic tuberculosis in an immunocompetent patient
Name
Zubieta-O’Farrill-2013-Colonic tuberculosis.pdf
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Author(s)
Zubieta-O’Farrill, Gregorio
Gonzalez-Sanchez, Carlos
Villanueva-Saenz, Eduardo
Donoghue, Jacob Alexander
Castillo-Calcaneo, Juan de Dios del
Date Issued
February 2013
Journal
International Journal of Surgery Case Reports
Publisher
Elsevier
Citation
Zubieta-O’Farrill, Gregorio, Juan de Dios del Castillo-Calcaneo, Carlos Gonzalez-Sanchez, Eduardo Villanueva-Saenz, and Jacob A. Donoghue. “Colonic Tuberculosis in an Immunocompetent Patient.” International Journal of Surgery Case Reports 4, no. 4 (2013): 359–361. © 2013 Surgical Associates Ltd.
Version
Final published version
Abstract
INTRODUCTION:
One-third of the world's population is infected with tuberculosis (TB), with intestinal TB representing the sixth most common presentation of extrapulmonary TB. The diagnosis of intestinal TB is a challenge for physicians due to its diverse clinical manifestations that mimic other infectious, autoimmune, and neoplastic disorders, and is thus rarely considered as the causative agent of disease.
PRESENTATION OF CASE:
We present a 55-year-old male with no relevant familial history, who presented due to a loss of 10 kg of weight in 2 months accompanied by nocturnal diaphoresis and continuous abdominal distension.
DISCUSSION:
The incidence and the severity of intestinal TB are increased in immunosuppressed patients and more rapidly progress due to deficient immune response. However, our immunocompetent had severe progression resulting in surgery less than a month after the diagnosis was made.
CONCLUSION:
While the diagnosis of intestinal TB, and specifically colonic TB, is difficult and is almost never the first diagnosis entertained outside the immunocompromised population, we present a rare case in which the disease presents in an immunocompetent patient.
MIT Department
Harvard University--MIT Division of Health Sciences and Technology
Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences
Terms of Use
Article is available under a Creative Commons license; see publisher’s site for details.
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DOI of Published Version
https://doi.org/10.1016/j.ijscr.2013.01.018
