Abdominal tuberculosis in Ecuador, a problem that is still not solved.
| Autor: | Rojas CL; Grupo Digeslap Center, Quito, Ecuador., Polanco EC; Department of Pathology, Hospital General San Francisco de Quito, Quito, Ecuador., Vivar MC; Department of Pathology, Hospital General San Francisco de Quito, Quito, Ecuador., Aguayo WG; Grupo Digeslap Center, Quito, Ecuador., Molina GA; Grupo Digeslap Center & Universidad Internacional del Ecuador., Gutierrez BM; Universidad San Francisco de Quito, USFQ, College of Biological and Environmental Sciences, Quito, Ecuador., Cobo MM; Universidad San Francisco de Quito, USFQ, College of Biological and Environmental Sciences, Quito, Ecuador. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of clinical tuberculosis and other mycobacterial diseases [J Clin Tuberc Other Mycobact Dis] 2020 Jun 23; Vol. 20, pp. 100172. Date of Electronic Publication: 2020 Jun 23 (Print Publication: 2020). |
| DOI: | 10.1016/j.jctube.2020.100172 |
| Abstrakt: | Background: Tuberculosis (TB) in the gastrointestinal tract or peritoneum is an uncommon condition in clinical practice. Its rarity, combined with its nonspecific presentations, makes this kind of extrapulmonary tuberculosis difficult to diagnose as it can mimic other inflammatory or malignant conditions. Delays in treatment and frequent misdiagnosis can lead to hazardous complications. In countries like Ecuador where the disease is endemic, TB should always be considered in the differential diagnosis of a patients who present with nonspecific abdominal symptoms. In these scenarios, laparoscopy can be an invaluable tool when used with sufficiently high clinical awareness and adequate training. Case Presentation: We present the case of a 37-year-old female patient from Ecuador with a 1-year history of abdominal pain, nausea, intermittent vomits, night sweats, and weight loss. After clinical evaluation and a laparoscopic intervention, abdominal TB was detected and promptly treated. Antituberculosis chemotherapy was initiated, and the patient successfully recovered. Conclusions: High clinical awareness is imperative when approaching abdominal TB due to its wide spectrum of clinical symptoms and its rarity. Early detection and prompt treatment are critical to minimize the possibility of hazardous complications. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2020 The Authors.) |
| Databáze: | MEDLINE |
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