Gastric tuberculosis presenting as a large gastric ulcer.

Autor: Elterefi AE; Department of Medicine, Zayed Military Hospital, Abu Dhabi, UAE., Uwaydah AK; Infectious Diseases, Zayed Military Hospital, Abu Dhabi, UAE awaidaak@yahoo.com., Helal GR; Laboratory, Zayed Military Hospital, Abu Dhabi, UAE., Hassan NMM; Department of Medicine, Zayed Military Hospital, Abu Dhabi, UAE.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2022 May 19; Vol. 15 (5). Date of Electronic Publication: 2022 May 19.
DOI: 10.1136/bcr-2021-248215
Abstrakt: While gastrointestinal (GI) tuberculosis (TB) accounts for 1%-3% of all TB cases worldwide, TB of the stomach is extremely rare and accounts for 1%-2% of all GI TB. Little is known about this entity, and most data are obtained from case reports. We report a case of a woman in her 60s who presented with a 2-week history of generalised weakness, fatigue and shivering, with severe loss of appetite on background history of dyspepsia and significant weight loss for the preceding 2 years. Upper endoscopy revealed a large gastric ulcer. Biopsy and histopathology revealed caseating granulomas with numerous acid-fast bacilli detected with Ziehl-Neelsen stain. She was diagnosed with gastric TB. Subsequently, she was also diagnosed with pulmonary, adrenal and colonic involvement.
Competing Interests: Competing interests: None declared.
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Databáze: MEDLINE