TY - JOUR
T1 - Tuberculosis ileocecal
T2 - A propósito de un caso
AU - Martínez-Montalvo, Carlos Mauricio
AU - Botello-Gil, Alejandro
AU - Herrera, Laura Melisa
AU - Leal-Bernal, Sofía Fernanda
AU - Guerrero, Margareth Elizabeth
N1 - Publisher Copyright:
© 2021 Asociación Colombiana de Gastroenterología.
PY - 2021
Y1 - 2021
N2 - Tuberculosis is a disease of public health importance worldwide with a high incidence in Colombia. It mainly affects the lung parenchyma. However, in a large number of cases, it is diagnosed in its extrapulmonary form, with the gastrointestinal tract being one of the most frequent sites. Mycobacterium tuberculosis has a strong predilection for the ileocecal region and the terminal ileum. Manifestations of this rare form of the disease are abdominal pain and mass sensation mainly, as well as ulcerative lesions in the intestinal mucosa and histolo-gical findings corresponding to large caseating granulomas of confluent morphology, which distinguish it from other entities such as Crohn’s disease. Invasive procedures, such as colonoscopy, and diagnostic laboratory aids, such as cultures, stains, and PCR, are used to find the disease in the gastrointestinal tract. Given the difficulty of diagnosing this type of tuberculosis, knowledge and how a patient with symptoms suggestive of the disease is approached are critical factors for establishing timely treatment. The following is an unusual case of ileocecal TB as a manifestation of prolonged febrile illness with a fatal outcome.
AB - Tuberculosis is a disease of public health importance worldwide with a high incidence in Colombia. It mainly affects the lung parenchyma. However, in a large number of cases, it is diagnosed in its extrapulmonary form, with the gastrointestinal tract being one of the most frequent sites. Mycobacterium tuberculosis has a strong predilection for the ileocecal region and the terminal ileum. Manifestations of this rare form of the disease are abdominal pain and mass sensation mainly, as well as ulcerative lesions in the intestinal mucosa and histolo-gical findings corresponding to large caseating granulomas of confluent morphology, which distinguish it from other entities such as Crohn’s disease. Invasive procedures, such as colonoscopy, and diagnostic laboratory aids, such as cultures, stains, and PCR, are used to find the disease in the gastrointestinal tract. Given the difficulty of diagnosing this type of tuberculosis, knowledge and how a patient with symptoms suggestive of the disease is approached are critical factors for establishing timely treatment. The following is an unusual case of ileocecal TB as a manifestation of prolonged febrile illness with a fatal outcome.
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U2 - 10.22516/25007440.515
DO - 10.22516/25007440.515
M3 - Artículo de Investigación
AN - SCOPUS:85106949806
SN - 0120-9957
VL - 36
SP - 30
EP - 36
JO - Revista Colombiana de Gastroenterologia
JF - Revista Colombiana de Gastroenterologia
ER -