Ylse Gutiérrez-Grobe, Rita Dorantes-Heredia, Heriberto Medina-Franco, Félix Ignacio Téllez-Ávila
Tuberculosis is an endemic disease in developing countries with an increasing incidence. Intestinal tuberculosis is a rare presentation in the absence of pulmonary disease and has a wide spectrum of clinical manifestations, mimicking other diseases such as Crohn’s disease or neoplastic diseases; therefore the diagnosis is a challenge for physicians. A case is presented of a 34-year-old patient with vague abdominal symptoms with previous diagnosis of adenocarcinoma of the colon, who attended our medical unit for a second opinion.
Ylse Gutiérrez-Grobea, Rita Dorantes-Herediab, Heriberto Medina-Francoc, Félix Ignacio Téllez-Ávilad
a Gastroenterology Department, Medica Sur Clinic and Foundation, Mexico City, Mexico
b Patology Department, Medica Sur Clinic and Foundation, Mexico City, Mexico
c Department of Surgery, Section of Surgical Oncology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
d Gastrointestinal Endoscopy Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
Abstract
Tuberculosis is an endemic disease in developing countries with an increasing incidence. Intestinal tuberculosis is a rare presentation in the absence of pulmonary disease and has a wide spectrum of clinical manifestations, mimicking other diseases such as Crohn’s disease or neoplastic diseases; therefore the diagnosis is a challenge for physicians. A case is presented of a 34-year-old patient with vague abdominal symptoms with previous diagnosis of adenocarcinoma of the colon, who attended our medical unit for a second opinion.
KEYWORDS
Intestinal tuberculosis; Real-time PCR; Auramine-Rhodamine stain; Colonoscopy
© 2014 Asociación Mexicana de Endoscopia Gastrointestinal. Published by Masson Doyma México S.A. All rights reserved.
Abordaje diagnóstico de la tuberculosis intestinal: Reporte de caso y revisión de la literatura
Resumen
La tuberculosis es una enfermedad endémica en algunos países en desarrollo con una incidencia que va en aumento. La tuberculosis intestinal es una presentación rara en ausencia de enfermedad pulmonar, y tiene un amplio espectro de manifestaciones clínicas que pueden simular otras enfermedades como enfermedad de Crohn o enfermedades neoplásicas, es por ello que representa siempre un reto diagnóstico. Describimos un caso de un paciente de 34 años con síntomas vagos con diagnóstico previo de adenocarcinoma del colon que acudió a nuestro hospital por una segunda opinión.
PALABRAS CLAVE
Tuberculosis intestinal; PCR en tiempo real; Tinción de auramina rodamina; Colonoscopia
© 2014 Asociación Mexicana de Endoscopia Gastrointestinal. Publicado por Masson Doyma México S.A. Todos los derechos reservados.
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