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2010, Number 94

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Rev Enfer Infec Pediatr 2010; 23.24 (94)

Primary intestinal tuberculosis: a case report and literature review

Ramírez OFM, Zárate MF, Cervantes BR, Merlos FIG, Toro MEM, Montijo BE, Ramírez MJA, Mora TMA

Language: Spanish
References: 21
Page: 73-79
PDF size: 187.64 Kb.


ABSTRACT

Introduction: Tuberculosis remains a major publc health challenge in the new millennium, arising each year approximately 8.8 million new cases, and 1.5 million deaths. The true incidence of intra-abdominal TB and/or gastrointestinal tract is unknown, as it can be of asymptomatic nature and often results in misdiagnosis, especially in cases of gastrointestinal tuberculosis, therefore must have a high index of suspicion in high risk populations, such as developing countries. Here, we present a case of primary intestinal tuberculosis in a child.
Case presentation: an 8-year-old female patient, with an abdominal mass in the right flank, associated with abdominal pain and weight loss of 4kg, begins its diagnostic approach. A computed tomography scan showed mass with calcifications in the right colon, and also a diagnostic colonoscopy with intestinal biopsy was performed, which reports primary intestinal tuberculosis. Medical treatment is initiated with four drugs and the patient showed improvement in symptoms.
Conclusion: In any patient presenting with abdominal mass in the right flank, accompanied by fever and weight loss, intestinal tuberculosis must be suspected, however due to the epidemiological transition of our country, some diseases such as Crohn´s disease and intestinal lymphoma must be ruled out.


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