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2022, Number 1

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Acta Med 2022; 20 (1)

Intestinal tuberculosis, a rare entity of acute abdomen

Myers EJA, Hernández MJM, Pimentel MHL, Mendoza GA, López OPA, Olvera VM, Brito GEA

Language: Spanish
References: 10
Page: 67-70
PDF size: 177.21 Kb.


ABSTRACT

Tuberculosis is an endemic infectious disease in Mexico, caused by Mycobacterium tuberculosis, an acid-fast stain-positive bacillus. The most common clinical scenarios are pulmonary affections. However, it has been reported that up to 25% of the cases may present as an extrapulmonary disease, either due to lymphatic or hematogenous dissemination, and isolated cases have been reported as an extrapulmonary primary infection. We present the case of a 62-year-old male with a 7-day history of abdominal pain associated with melena, in which multiple ileal perforations were documented in the anti-mesenteric border with a histological diagnosis of intestinal tuberculosis. This entity should be suspected in patients with chronic immunosuppressive treatment and special screening should be performed to prevent these clinical scenarios.


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