Penetrating gastric ulcer as a manifestation of multisystemic tuberculosis

Autor: Jorge, Espinoza-Ríos, Eduar, Bravo Paredes, José, Pinto Valdivia, Julissa, Guevara, Jorge, Huerta-Mercado, Martín, Tagle Arróspide, Alejandro, Bussalleu Rivera
Rok vydání: 2017
Předmět:
Zdroj: Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru. 37(1)
ISSN: 1609-722X
Popis: We present the case of a 30-year old female with a history of abdominal pain, fever, poor oral tolerance and weight loss for 6 months. An abdominal CT scan showed marked gastric dilatation due to extrinsic compression from lymphadenopathies around the second portion of the duodenum. The upper endoscopy revealed the presence of a penetrating gastric ulcer in the greater curvature. Biopsies of the lesions showed hystiocytes with granulomatous features and Acid Fast Bacilli (AFB) positive, and the cultures grew Mycobacterium tuberculosis sensitive to Isonazid and Rifampin. Subsequently anti-TB regimen was initiated achieving great clinical and endoscopic improvement.
Databáze: OpenAIRE