tailieunhanh - Báo cáo y học: " Cecal obstruction due to primary intestinal tuberculosis: a case series"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Cecal obstruction due to primary intestinal tuberculosis: a case series. | Michalopoulos et al. Journal of Medical Case Reports 2011 5 128 http content 5 1 128 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Cecal obstruction due to primary intestinal tuberculosis a case series Antonis Michalopoulos Vassilis N Papadopoulos Stavros Panidis Theodossis S Papavramidis Anastasios Chiotis and George Basdanis Abstract Introduction Primary intestinal tuberculosis is a rare variant of tuberculosis. The preferred treatment is usually pharmaceutical but surgery may be required for complicated cases. Case presentation We report two cases of primary intestinal tuberculosis where the initial diagnosis was wrong with colonic cancer suggested in the first case and a Crohn s disease complication in the second. Both of our patients were Caucasians of Greek nationality. In the first case a 60-year-old man a right hemicolectomy was performed. In the second case a 26-year-old man excision was impossible due to the local conditions and peritoneal implantations. Histopathology revealed an inflammatory mass of tuberculous origin in the first case. In the second cell culture and polymerase chain reaction tests revealed Mycobacterium tuberculosis. Both patients were given anti-tuberculosis therapy and their post-operative follow-up was uneventful. Conclusions Gastrointestinal tuberculosis still appears sporadically and should be considered in the differential diagnosis along with other conditions of the bowel. The use of immunosuppressants and new pharmaceutical agents can change the prevalence of tuberculosis. Introduction Based on surveillance and survey data the World Health Organization WHO estimates that million new cases of tuberculosis occurred in 2007. Primary intestinal tuberculosis PITB is a rare variant of the disease accounting for 1 of the cases in Europe 1 . Primary tuberculosis of the colon PTBC is nowadays rarely seen in Western countries and sporadic cases are present in the international bibliography. .