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Gastrointestinal Tuberculosis
Aka: Gastrointestinal Tuberculosis, Tuberculous Enteritis
- See Also
- Mycobacterium tuberculosis
- Pathophysiology
- Involves any part of Gastrointestinal Tract
- Ileocecal most commonly affected
- Risk of contracting gastrointestinal Tb
- Parallels severity of pulmonary disease
- Transmission
- Swallowing infected Sputum or contaminated food
- Hematogenous spread
- Contiguous spread from involved tissue
- Symptoms
- Fever
- Weight loss
- Abdominal Pain
- Diarrhea
- Signs
- Blood in stool
- Palpable right lower quadrant mass
- Differential Diagnosis
- Crohn's Disease
- Critical to differentiate from Tuberculosis
- Crohn's Treatment disseminates Tuberculosis
- Infection
- Yersinia
- Actinomyces
- Amebiasis
- Colon Cancer
- Diagnosis
- Endoscopy
- Mucosal injury
- Ulcerations
- Hypertrophic lesions
- Dense bandlike fibrosis
- Mucosal biopsy shows Acid Fast Bacilli (low yield)
- Culture of biopsy specimens
- CT Abdomen
- Barium Enema
- Shortened and retracted cecum
- Management
- See Extrapulmonary Tuberculosis
- Treat for six months
- Complications
- Intestinal Obstruction
- Bowel perforation
- Enteric fistulas
- References
- Marshall (1993) Am J Gastroenterol 88:989-99 [PubMed]