Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin Therapy

Background. Intestinal tuberculosis (ITB) constitutes less than 5% of overall cases of extrapulmonary disease and mostly affects the ileocecal region. The presentation and radiologic findings in enteric tuberculosis can mimic Crohn’s disease (CD). Case Presentation. We present a case report of an Af...

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Main Authors: Werimo Pascal Kuka, Joe Rakiro, Joseph Gatheru, Felix Riunga, Allan Rajula
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2022/9277789
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author Werimo Pascal Kuka
Joe Rakiro
Joseph Gatheru
Felix Riunga
Allan Rajula
author_facet Werimo Pascal Kuka
Joe Rakiro
Joseph Gatheru
Felix Riunga
Allan Rajula
author_sort Werimo Pascal Kuka
collection DOAJ
description Background. Intestinal tuberculosis (ITB) constitutes less than 5% of overall cases of extrapulmonary disease and mostly affects the ileocecal region. The presentation and radiologic findings in enteric tuberculosis can mimic Crohn’s disease (CD). Case Presentation. We present a case report of an African woman who presented to a Kenyan hospital with lower gastrointestinal bleeding while on anticoagulation for valvular atrial fibrillation, and was diagnosed with intestinal tuberculosis after colonoscopy, biopsy, and positive staining for tuberculous bacilli. Conclusion. Intestinal tuberculosis causing gastrointestinal bleeding is rare but should be suspected in patients living in TB endemic regions.
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institution Kabale University
issn 2090-6536
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publishDate 2022-01-01
publisher Wiley
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-8bf4f27342734ed4b5b2d8c5460427ee2025-02-03T05:53:51ZengWileyCase Reports in Gastrointestinal Medicine2090-65362022-01-01202210.1155/2022/9277789Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin TherapyWerimo Pascal Kuka0Joe Rakiro1Joseph Gatheru2Felix Riunga3Allan Rajula4Aga Khan University Hospital NairobiAga Khan University Hospital NairobiAga Khan University Hospital NairobiAga Khan University Hospital NairobiAga Khan University Hospital NairobiBackground. Intestinal tuberculosis (ITB) constitutes less than 5% of overall cases of extrapulmonary disease and mostly affects the ileocecal region. The presentation and radiologic findings in enteric tuberculosis can mimic Crohn’s disease (CD). Case Presentation. We present a case report of an African woman who presented to a Kenyan hospital with lower gastrointestinal bleeding while on anticoagulation for valvular atrial fibrillation, and was diagnosed with intestinal tuberculosis after colonoscopy, biopsy, and positive staining for tuberculous bacilli. Conclusion. Intestinal tuberculosis causing gastrointestinal bleeding is rare but should be suspected in patients living in TB endemic regions.http://dx.doi.org/10.1155/2022/9277789
spellingShingle Werimo Pascal Kuka
Joe Rakiro
Joseph Gatheru
Felix Riunga
Allan Rajula
Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin Therapy
Case Reports in Gastrointestinal Medicine
title Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin Therapy
title_full Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin Therapy
title_fullStr Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin Therapy
title_full_unstemmed Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin Therapy
title_short Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin Therapy
title_sort intestinal tuberculosis presenting with gastrointestinal bleeding in patient on warfarin therapy
url http://dx.doi.org/10.1155/2022/9277789
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