Pulmonology Book

Tuberculosis

http://www.fpnotebook.com/

Gastrointestinal TuberculosisAka: Tuberculous Enteritis

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  1. See Also
    1. Mycobacterium tuberculosis
  2. Pathophysiology
    1. Involves any part of Gastrointestinal tract
    2. Ileocecal most commonly affected
    3. Risk of contracting gastrointestinal Tb
      1. Parallels severity of pulmonary disease
    4. Transmission
      1. Swallowing infected Sputum or contaminated food
      2. Hematogenous spread
      3. Contiguous spread from involved tissue
  3. Symptoms
    1. Fever
    2. Weight loss
    3. Abdominal Pain
    4. Diarrhea
  4. Signs
    1. Blood in stool
    2. Palpable right lower quadrant mass
  5. Differential Diagnosis
    1. Crohn's Disease
      1. Critical to differentiate from Tuberculosis
      2. Crohn's Treatment disseminates Tuberculosis
    2. Infection
      1. Yersinia
      2. Actinomyces
      3. Amebiasis
    3. Colon Cancer
  6. Diagnosis
    1. Endoscopy
      1. Mucosal injury
        1. Ulcerations
        2. Hypertrophic lesions
        3. Dense bandlike fibrosis
      2. Mucosal biopsy shows Acid Fast Bacilli (low yield)
      3. Culture of biopsy specimens
    2. CT Abdomen
    3. Barium Enema
      1. Shortened and retracted cecum
  7. Management
    1. See Extrapulmonary Tuberculosis
    2. Treat for six months
  8. Complications
    1. Intestinal Obstruction
    2. Bowel perforation
    3. Enteric fistulas
  9. References
    1. Marshall (1993) Am J Gastroenterol 88:989

Tuberculosis, Gastrointestinal (C0041312)

Definition (MSH)TUBERCULOSIS that involves any region of the GASTROINTESTINAL TRACT, mostly in the distal ILEUM and the CECUM. In most cases, MYCOBACTERIUM TUBERCULOSIS is the pathogen. Clinical features include ABDOMINAL PAIN; FEVER; and palpable mass in the ileocecal area.
ConceptsDisease or Syndrome (T047)
EnglishGastrointestinal Tuberculosis, Tuberculosis of gastrointestinal tract
Spanishtuberculosis del tracto gastrointestinal
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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