Tuberculous Enteritis: A Rare Complication of Miliary Tuberculosis
Tuberculous enteritis is a clinical rarity even in immunocompromised patients. We present a case of miliary tuberculosis with gastrointestinal involvement. A 47-year-old homosexual male from Philippines with no significant medical history presented with productive cough, night sweats, subjective fev...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2016/6949834 |
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| author | Danisha Figueroa Nilmarie Guzman Carmen Isache |
| author_facet | Danisha Figueroa Nilmarie Guzman Carmen Isache |
| author_sort | Danisha Figueroa |
| collection | DOAJ |
| description | Tuberculous enteritis is a clinical rarity even in immunocompromised patients. We present a case of miliary tuberculosis with gastrointestinal involvement. A 47-year-old homosexual male from Philippines with no significant medical history presented with productive cough, night sweats, subjective fevers, shortness of breath, watery diarrhea, and 25-pound weight loss in past one year. On physical exam he was afebrile, mildly hypotensive, tachycardic, and tachypneic, but saturating well on room air. He was cachectic with oral thrush and bilateral fine rales. Chest X-ray revealed a miliary pattern. His sputum AFB smear was strongly positive. PCR and sputum culture were positive for Mycobacterium tuberculosis. He was started on Rifampin, Isoniazid, Ethambutol, and Pyrazinamide. He was found to be HIV positive with an absolute CD4 count of 4 cells/μL. Due to persistent diarrhea, stool was sent for AFB culture and grew M. tuberculosis. He responded well to treatment with resolution of symptoms. Tuberculous enteritis occurs in about 2% of the patients with pulmonary tuberculosis. Although it is uncommon, it should be considered in patients with active pulmonary tuberculosis and abdominal complaints. A presumptive diagnosis of tuberculous enteritis can be made in the setting of active pulmonary tuberculosis with suggestive clinical, endoscopic, and/or radiographic findings. |
| format | Article |
| id | doaj-art-498561058c414d569362336d7aa825f0 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-498561058c414d569362336d7aa825f02025-02-03T05:50:10ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/69498346949834Tuberculous Enteritis: A Rare Complication of Miliary TuberculosisDanisha Figueroa0Nilmarie Guzman1Carmen Isache2Department of Internal Medicine, Division of Infectious Disease, University of Florida College of Medicine-Jacksonville, Jacksonville, Fl 32209, USADepartment of Internal Medicine, Division of Infectious Disease, University of Florida College of Medicine-Jacksonville, Jacksonville, Fl 32209, USADepartment of Internal Medicine, Division of Infectious Disease, University of Florida College of Medicine-Jacksonville, Jacksonville, Fl 32209, USATuberculous enteritis is a clinical rarity even in immunocompromised patients. We present a case of miliary tuberculosis with gastrointestinal involvement. A 47-year-old homosexual male from Philippines with no significant medical history presented with productive cough, night sweats, subjective fevers, shortness of breath, watery diarrhea, and 25-pound weight loss in past one year. On physical exam he was afebrile, mildly hypotensive, tachycardic, and tachypneic, but saturating well on room air. He was cachectic with oral thrush and bilateral fine rales. Chest X-ray revealed a miliary pattern. His sputum AFB smear was strongly positive. PCR and sputum culture were positive for Mycobacterium tuberculosis. He was started on Rifampin, Isoniazid, Ethambutol, and Pyrazinamide. He was found to be HIV positive with an absolute CD4 count of 4 cells/μL. Due to persistent diarrhea, stool was sent for AFB culture and grew M. tuberculosis. He responded well to treatment with resolution of symptoms. Tuberculous enteritis occurs in about 2% of the patients with pulmonary tuberculosis. Although it is uncommon, it should be considered in patients with active pulmonary tuberculosis and abdominal complaints. A presumptive diagnosis of tuberculous enteritis can be made in the setting of active pulmonary tuberculosis with suggestive clinical, endoscopic, and/or radiographic findings.http://dx.doi.org/10.1155/2016/6949834 |
| spellingShingle | Danisha Figueroa Nilmarie Guzman Carmen Isache Tuberculous Enteritis: A Rare Complication of Miliary Tuberculosis Case Reports in Infectious Diseases |
| title | Tuberculous Enteritis: A Rare Complication of Miliary Tuberculosis |
| title_full | Tuberculous Enteritis: A Rare Complication of Miliary Tuberculosis |
| title_fullStr | Tuberculous Enteritis: A Rare Complication of Miliary Tuberculosis |
| title_full_unstemmed | Tuberculous Enteritis: A Rare Complication of Miliary Tuberculosis |
| title_short | Tuberculous Enteritis: A Rare Complication of Miliary Tuberculosis |
| title_sort | tuberculous enteritis a rare complication of miliary tuberculosis |
| url | http://dx.doi.org/10.1155/2016/6949834 |
| work_keys_str_mv | AT danishafigueroa tuberculousenteritisararecomplicationofmiliarytuberculosis AT nilmarieguzman tuberculousenteritisararecomplicationofmiliarytuberculosis AT carmenisache tuberculousenteritisararecomplicationofmiliarytuberculosis |