1.To remark 3 cases of digestion tract tuberculosis: experiences in diagnosis and treatment
Journal of Practical Medicine 2003;456(7):15-17
3 cases of digestion tract tuberculosis treated in Hospital 108 were presented. The first was operated because of intestinal obstruction, the second because of severe gastrointestinal bleeding, but biopsy showed that these two patients were treated intensively by antituberculosis chemotherapy with good success. The third was diagnosed and treated very lately loading to unsatisfied results. Therefore, it should be tried to treat with antituberculosis drug initially
Tuberculosis
;
Digestion
;
Diseases
;
Tuberculosis, Gastrointestinal
;
diagnosis
;
Therapeutics
2.Solitary Jejunal Tuberculosis with Intestinal Obstruction in an Immunocompetent Patient.
Hyun Jin BAE ; Jong Ho PARK ; Su Sin JIN ; Jiyun JUNG ; Yun Jung NAM ; Da Won KIM
Korean Journal of Medicine 2018;93(6):556-559
Intestinal tuberculosis is an infection of the gastrointestinal tract by the Mycobacterium tuberculosis complex. To the best of our knowledge, solitary intestinal tuberculosis accompanied by intestinal obstruction, particularly in the middle of the small intestine, is extremely rare. We report a case of solitary jejunal tuberculosis in a 49-year-old man with no underlying disease. He was admitted a few days after the onset of diffuse abdominal discomfort. Upon evaluation, we initially considered a malignancy of the distal jejunum with ileus due to the presence of a mass. Therefore, he underwent laparoscopic resection of the small bowel. Unexpectedly, the histologic specimen showed a chronic caseating granulomatous lesion with acid-fast bacilli. Ultimately, he was diagnosed with solitary jejunal tuberculosis. He was successfully treated with anti-tuberculosis drugs without any complications.
Gastrointestinal Tract
;
Humans
;
Ileus
;
Immunocompetence
;
Intestinal Obstruction*
;
Intestine, Small
;
Jejunum
;
Middle Aged
;
Mycobacterium tuberculosis
;
Tuberculosis*
;
Tuberculosis, Gastrointestinal
3.A Case of Bleeding Jejunal Tuberculosis Diagnosed with Intraoperative Endoscopy.
Jong Han OK ; Kang Hee KIM ; Dae Young KIM ; Dong Lyeoul LEE ; Kyu Hwan LEE ; Jin Hun JOE ; Hee Uk PARK ; Sun Hee YOUN
Korean Journal of Gastrointestinal Endoscopy 1999;19(2):295-299
Tuberculosis is a multi-organ disease. The incidence of pulmonary tuberculosis is declining due to improvement in public health, vaccination and the development of anti-tuberculosis medication, but extrapulmonary tuberculosis has become more common, especially in immuno-compromised individuals, AIDS patients and immigrants to western worlds. Gastrointestinal tuberculosis continues to give rise to diagnostic and therapeutic challenges. The jejunal tuberculosis is uncommon and presents a difficult diagnostic problem. Bleeding jejunal tuberculosis is a very rare source of lower gastrointestinal bleeding. We have recently experienced a case of a jejunal tuberculosis which was proven to be a source of gastrointestinal bleeding by intraoperative endoscopy and was confirmed by surgical exploration. This report summarized our experience and review of literature.
Emigrants and Immigrants
;
Endoscopy*
;
Hemorrhage*
;
Humans
;
Incidence
;
Public Health
;
Tuberculosis*
;
Tuberculosis, Gastrointestinal
;
Tuberculosis, Pulmonary
;
Vaccination
;
Western World
4.A Case of Tuberculosis of the Esophagus and Duodenum Associated with Pulmonary Tuberculosis.
Seok Jin KANG ; Tae Hyo KIM ; Won Hyun LEE ; Seung Suk YOU ; Jong HA ; Sun Pil CHOI ; Dong O KANG ; In Gye BAE ; Hyun Jin KIM ; Ok Jae LEE
Korean Journal of Gastrointestinal Endoscopy 2007;35(3):165-169
Esophageal and duodenal tuberculosis are rare form of gastrointestinal tuberculosis. The common complications due to esophageal and duodenal tuberculosis are fistulous communications with the adjacent structures, perforation, obstruction, and upper gastrointestinal bleeding. Massive bleeding in esophageal and duodenal tuberculosis is quite rare. We encountered a case of a 55-year-old male who presented with hematemesis and melena. Esophageal and Duodenal tuberculosis with a duodenal fistula was diagnosed by an endoscopic and radiology examination. He improved after treatment with anti-tuberculosis medication over a 9 month period. We report this case of esophageal and duodenal tuberculosis associated with pulmonary tuberculosis with a review of the relevant literature.
Duodenum*
;
Esophagus*
;
Fistula
;
Hematemesis
;
Hemorrhage
;
Humans
;
Male
;
Melena
;
Middle Aged
;
Tuberculosis*
;
Tuberculosis, Gastrointestinal
;
Tuberculosis, Pulmonary*
5.Paradoxical Response During Antituberculous Treatment for Abdominal Tuberculosis.
Ji Young KIM ; Jung Hyeok KWON ; Mi Jeong KIM ; Hyuk Won CHANG ; Jae Seok HWANG ; Kwang Bum CHO ; Kyung Sik PARK ; Byoung Kuk JANG ; Woo Jin CHUNG
Journal of the Korean Radiological Society 2006;55(6):599-605
PURPOSE: The purpose of our study was to evaluate clinical and CT findings of paradoxical response during treatment for abdominal tuberculosis. MATERIALS AND METHODS: Authors reviewed the patient records of 138 patients with abdominal tuberculosis during a recent 6-year period and we selected 11 patients with a paradoxical response. The CT findings and pathologic findings of the initial lesions and new lesions were reviewed. The intervals between initiation of therapy and the detection of new lesions, improvement of new lesions and the final follow-up were evaluated. RESULTS: At the initial presentation, we identified tuberculous peritonitis in 8 patients, tuberculous lymphadenitis in 3 patients and ileocolic tuberculosis in two patients. New lesions were identified at 2-10 months (mean: 3.8 months) after the initiation of therapy and following improvement of the initial lesions. The new lesions were perihepatic caseous abscess (n=4), hepatic tuberculoma (n=3), hepatic caseous abscess (n=1), tuberculous lymphadenitis (n=3), ileocolic tuberculosis (n=3), and splenic tuberculoma (n=1). Improvement of new lesions was noted at 4-14 months (mean: 7.6 months). At the final follow-up of seven patients, the new lesions disappeared and four patients still had small residual lesions. CONCLUSION: New lesions that develop in a patient with initial improvement should be considered a paradoxical response that will ultimately improve with continuation of the original medication.
Abscess
;
Follow-Up Studies
;
Humans
;
Peritonitis, Tuberculous
;
Tuberculoma
;
Tuberculosis*
;
Tuberculosis, Gastrointestinal
;
Tuberculosis, Lymph Node
6.The Changes in Etiology and Clinical Features of Non-Traumatic Small Bowel Perforation.
Byeong Gwan KIM ; Ji Won KIM ; Kook Lae LEE ; Jae Kyung LEE ; Ji Bong JEONG
Intestinal Research 2012;10(2):189-195
BACKGROUND/AIMS: We investigated the clinical features, and treatment outcomes in patients with non-traumatic small bowel perforations and compared these results to the previous study with patients who were diagnosed between 1997 and 2002. METHODS: Patients who diagnosed non-traumatic small bowel perforation between January 2003 and December 2008 were reviewed retrospectively. RESULTS: Of 38 patients of non-traumatic small bowel perforation, the most common etiologies were Crohn's disease (CD) (36.8%), followed by intestinal tuberculosis (ITB) (28.9%) and primary malignancy (15.8%). In the study of 2002, however, the most common etiologies were idiopathic (39.3%), followed by mechanical obstruction (28.6%) and infectious enteritis (14.3%). Of 38 cases, 8 perforation sites were found in the jejunum and 30 in the ileum. The number of perforations was single in 20, two in 15, and over 2 in 3 cases. Twenty-five patients were treated with resection and anastomosis, nine patients with primary closure, and four patients with both procedures. The site and number of perforations, surgical methods, and post-operative complication rates were similar to those of 2002. The perforation patients with ITB had more frequent night sweats and pulmonary tuberculosis findings than those with CD. CONCLUSIONS: Although the clinical features and surgical outcomes in the 2009 study were similar to those of the previous study conducted in 2003, the etiologies of perforations were different; CD and ITB were two most common etiologies. In addition, clinical characteristics such as night sweats or pulmonary tuberculosis were suggestive findings for the diagnosis of ITB.
Crohn Disease
;
Enteritis
;
Humans
;
Ileum
;
Intestinal Perforation
;
Jejunum
;
Sweat
;
Tuberculosis
;
Tuberculosis, Gastrointestinal
;
Tuberculosis, Pulmonary
7.The incidence of Mycobacterium other than tuberculosis isolated in specimens suspected of tuberculosis in a tertiary hospital in the Philippines: A retrospective study.
Siapno Rosario Pinkie V. ; King Kay Caroline Bernadette O. ; Visperas Julie Christie G.
Philippine Journal of Internal Medicine 2016;54(4):1-4
INTRODUCTION: In the Philippines, a diagnosis of pulmonary tuberculosis is very common especially in the presence of sputum findings positive for Acid Fast Bacilli (AFB). But it should be kept in mind that not all Mycobacterium are tuberculosis(TB).A previous study done at the University of Santo Tomas (UST) Hospital from 2003 to 2009 showed a 2.17% incidence of Mycobacterium other than tuberculosis (MOTT). However, due to its growing correlation with the Human Immunedeficiency Virus (HIV), updated incidence rates are warranted.Likewise,the importance of culture in the right diagnosis of diseases should always be emphasized.
OBJECTIVES: The study aimed to determine the incidence of MOTT in a tertiary hospital in Manila among patients suspected of having TB.
MATERIALS AND METHODS: This is a retrospective study done at the UST Hospital, a quality-assured referral center for TB in Manila, with a TB Directly Observed Short Course (TB-DOTS) Clinic. Laboratory records of specimens submitted for culture and sensitivity studies for Mycobacterium tuberculosis (MTB) for which isolates of MOTT grew, using BACTECTM(Becton-Dickinson) method and Mycobacteria Growth Indicator Tube (MGITTM), from January 2003 to December 2014, were reviewed.
RESULTS: A total of 6,886 specimens were submitted for MTB culture and sensitivity studies. Results showed 157 cases of MOTT with an incidence of 2.28%. Majority of the specimens with MOTT were from pulmonary sources (85%), most common of which was from sputum. Non pulmonary sources (15%) were mostly from urine, cerebro-spinal, and gastrointestinal tract. were isolated for MOTT. These find-ings are consistent with the previous local available data. Correct identification of this organism influence eventual decisions for treatment.
CONCLUSION: The incidence of positive culture for MOTT in our institution remains to be low. However, there is an increasing trend in the number of specimens which are turning out to be positive for MOTT. A future study on the correlation with the patients' clinical profile is recommended.
Human ; Mycobacterium Tuberculosis ; Sputum ; Tertiary Care Centers ; Philippines ; Tuberculosis, Pulmonary ; Tuberculosis ; Hiv Infections ; Gastrointestinal Tract
8.Tuberculosis of the Appendix Associated with as Acute Suppurative Inflammatory Reaction: A case report.
Byung Ho SOHN ; Soon Ok CHOI ; Woo Hyun PARK
Journal of the Korean Surgical Society 1997;53(6):927-930
Tuberculosis affecting only the appendix is exceedingly rare, and tuberculous involvement of the appendix in the presence of tuberculosis elsewhere in the body, e.g., the lung or the gastrointestinal tract, is not common. Tuberculosis of the appendix is not associated with any specific clinical features, and diagnosis is revealed only after histopathological examination. Recently, we clinically experienced a case of tubercular appendicitis on histopathologic examination after an appendectomy for acute appendicitis. This case of tubercular appendicitis is presented with a brief review of the literature.
Appendectomy
;
Appendicitis
;
Appendix*
;
Diagnosis
;
Gastrointestinal Tract
;
Lung
;
Tuberculosis*
9.Imaging Findings of Acute Abdomen with Intraperitoneal Tuberculosis.
Ji Seon JOO ; Mi Young KIM ; Jin Hoi KOO ; Soon Gu CHO ; Chang Hae SUH
Journal of the Korean Radiological Society 2000;43(6):745-749
Acute abdomen caused by abdominal tuberculosis is a rare manifestation, and includes bleeding of a gastric or ileal ulcer, obstruction of the small bowel by an adhesive band, perforation of the ileum, ileocolic intussusception and fistula, and mesenteric abscesses caused by necrotic lymph nodes. The clinical and radiologic features of these complicated tuberculosis may mimic other acute abdominal diseases. Although not definitive, careful evaluation of the radiologic findings of the bowel wall, mesenteric fat infiltration, and lymph node enlargement may provide useful diagnostic clues to the presence of acute abdomen due to tuberculosis.
Abdomen, Acute*
;
Abscess
;
Adhesives
;
Fistula
;
Hemorrhage
;
Ileum
;
Intussusception
;
Lymph Nodes
;
Tuberculosis*
;
Tuberculosis, Gastrointestinal
;
Ulcer
10.A Case of Adult Intussusception Induced by Intestinal Tuberculosis.
Hye Sun KANG ; Ji Young KANG ; Hyeon Hui KANG ; Hyun Jin KIM ; Keun Joon LIM ; Seung Kyoung KIM ; Sang Haak LEE ; Hwa Sik MOON ; Jong Kyung PARK
Tuberculosis and Respiratory Diseases 2010;69(3):196-200
Intussusception primarily occurs in children and is uncommon in adults. Moreover, intussusception caused by intestinal tuberculosis is very rare. We report a case of intussusception induced by intestinal tuberculosis. A 53-year-old man presented to our hospital with complaints of cough and sputum for 2 weeks. We started anti-tuberculosis medication as the patient's sputum acid-fast staining was positive. After 4 days of treatment, the patient developed abdominal cramping pain. Imaging studies showed ileo-ileal type intussusception. The patient underwent segmental resection of the small bowel and intestinal tuberculosis was confirmed on histological examination. He recovered after surgery and was discharged on anti-tuberculosis medication.
Adult
;
Child
;
Colic
;
Cough
;
Humans
;
Intussusception
;
Middle Aged
;
Sputum
;
Tuberculosis
;
Tuberculosis, Gastrointestinal