There are not much cases of eosinophilic enteritis presenting with intestinal obstruction reported in the literature and hence we are presenting this case report. References 1. Klein NC, Hargrove RL, Sleisenger MH, Jeffries GH. [ijhas.in]

The pain, when present, is usually greatest in the right lower abdominal quadrant. On palpation, tenderness about McBurney's point is often found, although the pain may be more generally distributed. A tumefaction is occasionally present. [pubs.rsna.org]

Abstract Intestinal tuberculosis (TB) has a spectrum of clinical presentations. A 7-year-old male child presented with abdominal distension and pain, vomiting, and constipation for a week. [jpss.eu]

Two cases of ileocecal tuberculosis are presented. The diagnosis was achieved by endoscopic fine needle aspiration cytology (FNAC), while endoscopic biopsies and brush cytology were negative. [ncbi.nlm.nih.gov]

This is also true for our illustrated patient who presented with all these symptoms. However, it is known that Crohn's disease also present with all of these symptoms. [jmedtropics.org]

• Fever

  Presentation low grade fever associated with loss of appetite and weight loss Patient Data Age: 30 Gender: Female 5 case questions available Loading images... [radiopaedia.org]

  Typhoid fever: global situation and WHO recommendations. In: Proceedings of the 2nd Asia Pacific Symposium on Typhoid Fever and Other Salmonellosis. Bangkok: Infectious Disease Association of Thailand 1994:39. [appliedradiology.com]

  Her problems persisted and she developed malnutrition, hypoalbuminemia, and intermittent fever and was started on treatment for tuberculosis. She did not improve and developed perianal disease. [journals.lww.com]

  Fever and weight loss are prominent symptoms of ileocecal abscess. Non-Hodgkin lymphoma presented with fever, vomiting and loss of weight. [ispub.com]

  There had been a history of infrequent episodes of pain abdomen and mild fever for more than a month for which he remained under treatment of the medical department of the same hospital. [jpss.eu]

• Weight Loss

  Presentation low grade fever associated with loss of appetite and weight loss Patient Data Age: 30 Gender: Female 5 case questions available Loading images... [radiopaedia.org]

  Case Report Mr B.S was a 23-year-old man who presented to the clinic on account of recurrent abdominal pain and weight loss of 7 months duration. [jmedtropics.org]

  • General symptoms like: weight loss, malaise, evening rise of temperature, etc. • Alternating constipation and diarrhea • Mass in the right iliac fossa • Features of distal small bowel obstruction - abdominal pain, distension and vomiting. Q 3. [7med-pdf.com]

  Patients infected with Mycobacterium Tuberculosis(Mtb) may present with ileocecal infection, weight loss and bleeding per rectum. [journals.lww.com]

  Here, we report a 66-year-old Filipino male who initially presented with a two-year history of altered bowel habits which eventually progressed to include haematochezia, decreased stool caliber, and constitutional symptoms of unquantified weight loss [oncologypro.esmo.org]

• Swollen Knee

  Exam: AIIMS Pre PG - May - 2010 A young man back from leisure tri has swollen knee joints & foreign body sensation in eyes. Likely cause is Exam: AIIMS Pre PG - May - 2010 A pt presents with acute rheumatic carditis with fever. [quespedia.com]

• Orthopnea

  He had history of nonproductive cough, but no drenching night sweat, orthopnea, or paroxysmal nocturnal dyspnea. He was not a known hypertensive, diabetic, or asthmatic. He neither drank alcohol nor smoked cigarette. [jmedtropics.org]

• Abdominal Pain

  He had appendectomy about 6 months before presentation at another facility on account of worsening lower abdominal pain without any resolution of the pain. [jmedtropics.org]

  She had short stature, abdominal pain, joint pains, oral ulcers and intermittent fever and had been treated for possible abdominal tuberculosis by her primary physician with no improvement in symptoms. [journals.lww.com]

  A 7-year-old male child presented with abdominal distension and pain, vomiting, and constipation for a week. [jpss.eu]

  She was admitted in other hospitals and was brought to us two weeks ago with abdominal pain. Investigations revealed a right sided abdominal mass. She was too sick to be operated upon straightaway since her blood pressure was barely recordable. [manalihospital.com]

• Chronic Abdominal Pain

  […] tuberculosis is an important differential diagnosis in disease presenting with chronic abdominal pain, fever and malabsorption. [journals.lww.com]

  Ileocecal tuberculosis is one of the most important differential diagnoses for chronic abdominal pain in the rural population. [ispub.com]

  abdominal pain, chronic diarrhea, weight loss, or growth failure) plus either extraintestinal manifestations (fever, arthritis or arthralgia, pyoderma gangrenosum, perianal disease, or primary sclerosing cholangitis), inflammatory markers (iron deficiency [jdeonline.in]

• Abdominal Tenderness

  Abdominal tenderness with mass in the right iliac fossa was the most common presenting symptom (100%) of TB in this series. [saudijgastro.com]

• Tenderness at McBurney's Point

  On palpation, tenderness about McBurney's point is often found, although the pain may be more generally distributed. A tumefaction is occasionally present. [pubs.rsna.org]

• Asterixis

  There were no focal neurological deficits and asterixis. The full blood count showed a packed cell volume of 25% and white blood cell and platelets count were normal. The chest X-ray was also normal. [jmedtropics.org]

• Focal Neurological Deficit

  There were no focal neurological deficits and asterixis. The full blood count showed a packed cell volume of 25% and white blood cell and platelets count were normal. The chest X-ray was also normal. [jmedtropics.org]

Here, we report a case of isolated colonic tuberculosis where the initial diagnostic workup was suggestive of Crohn's disease. [gastrointestinalatlas.com]

Results Of the total study subjects, 266 patients were chosen for diagnostic laparoscopy based on the fact that their findings and symptomatology were so vague that a conclusion could not be drawn from the clinical examination and the usual laboratory workup [intechopen.com]

Endoscopy The most common site of involvement for both ITB and CD diseases is the ileocolonic region, and hence ileocolonoscopy is crucial for the diagnostic workup of both diseases. [ijri.org]

• Colonic Stricture

  Ileocaecoplasty and coloplasty are also advocated for ileocaecal and colonic strictures, respectively. [ots1.narod.ru]

• Trichinella Spiralis

  Conti, P., 1999: IgG, IgG1 and IgM response in Trichinella spiralis-infected mice treated with 4-deoxypirydoxine or fed a Vitamin B6-deficient diet de Haas, M., 2001: IgG-Fc receptors and the clinical relevance of their polymorphisms Richard, C.A.; [eurekamag.com]

• Colitis

  Our study shows non-caseating granuloma is not significant to the differential diagnosis of tuberculous colitis from Crohn’s colitis. [wjgnet.com]

  Differential diagnosis of ileocecal tuberculous colitis includes Crohn’s Disease (CD) and Yersinia infection because these diseases tend to involve ileocecal region and produce granulomatous colitis with strictures, fistulae, tumour-like mass, and aphthoid [medunigraz.at]

  The incidence of each inflammatory bowel disease are; Tbcintestine (65%), Amebic colitis (15.8%), Ulcerative colitis (11.1%) and Crohn's disease (7.1%). 2. [synapse.koreamed.org]

  Eosinophilic colitis due to rifampicin. Lancet 1994;344:1296-7. [ PUBMED ] 4. Alfadda AA, Storr MA, Shaffer EA. Eosinophilic colitis: Epidemiology, clinical features, and current management. Therap Adv Gastroenterol 2011;4:301-9. 5. [ijhas.in]

Clinical response to the anti-tuberculosis treatment is usually dramatic and less than 1-year treatment is sufficient for patients with tuberculous colitis compared to life long treatment for inflammatory bowel disease. [wjgnet.com]

Differentiation between ileocecal tuberculosis and eosinophilic enteritis becomes more so important in cases not presenting with complete intestinal obstruction in whom conservative treatment would be planned; as the treatment option is entirely different [ijhas.in]

Extensive resection should be avoided in surgical treatment of intestinal tbc. Early diagnosis and treatment will decreas the complications that can be develop during the progress of the disease and consequently the mortality rates. [tjtes.org]

Most of the guidelines on the treatment of tuberculosis suggest that 6 months treatment is sufficient for extrapulmonary tuberculosis except for bone tuberculosis and tubercular meningitis. [clinicaltrials.gov]

Take samples before starting treatment or within seven days of starting. Start treatment without culture results if there are clinical signs and symptoms of TB, and complete treatment even if the culture results are negative. [patient.info]

PROGNOSIS The prognosis of uncomplicated abdominal tuberculosis is good. Most patients who undergo effective surgical management of complications respond well. [ots1.narod.ru]

[…] disease), perforation Obliteration of ileocecal angle with widely patent ileocecal valve Rapid emptying of inflamed terminal ileum (Stierlin sign) Often associated mesenteric lymphadenopathy with increased mesenteric thickness Prognostic factors Worse prognosis [pathologyoutlines.com]

Surgery is the mainstay of treatment and, when done with adequate preparations, has good prognosis. Ileocecal tuberculosis is one of the most important differential diagnoses for chronic abdominal pain in the rural population. [ispub.com]

Crohn's disease – Occurrence, course and prognosis. An epidemiologic cohort-study. Dan Med Bull 1997;44:287-302. 2. Scotiniotis I, Rubesin SE, Ginsberg GG. Imaging modalities in inflammatory bowel disease. [jmedtropics.org]

Though intussusception carries a very good prognosis, decisive prognostic factor is the nature of pathology leading to process. [10] To conclude, adult ileocolic intussusception due to tuberculosis should be kept in mind in patients presenting with chronic [atmph.org]

Certain observations as to the etiology are noted and since the process was reversed by bowel resection, it is assumed that the intestinal tuberculosis was responsible for the so-called target cell anemia. [link.springer.com]

Although 90% of cases of pediatric intussusceptions are idiopathic, a demonstrable etiology is found in 70-90% of adult cases. [1] Adult patients with ileococlic intussusceptions have underlying neoplasm either benign or malignant as an etiological factor [atmph.org]

Pathogen host: predominantly humans Mycobacterium bovis : Common pathogen causing gastrointestinal tuberculosis Mechanism of infection: predominantly via ingestion of contaminated cow's milk Pathogen reservoir: predominantly cattle References: [4] [5] Etiology [amboss.com]

Eosinophilic enteritis is a rare cause of intestinal obstruction with varied etiology which can mimic ileocecal tuberculosis. [ijhas.in]

SENIOR RESIDENT,RADIOLOGY Published on Sep 13, 2015 ABDOMINAL TUBERCULOSIS : ETIOLOGY, SPREAD AND IMAGING FEATURES....ON CONVENTIONAL AND CROSS SECTIONAL IMAGING 1. Imaging in Abdominal Tuberculosis Presenter : Dr. Navni Moderator : Dr. [slideshare.net]

Eosinophilic colitis: Epidemiology, clinical features, and current management. Therap Adv Gastroenterol 2011;4:301-9. 5. Copeland B, Aramide OO, Wehbe SA, Fitzgerald SM, Krishnaswamy G. [ijhas.in]

Epidemiology Sex : ♂ > ♀ (2:1) United States Globally The incidence of multidrug-resistant tuberculosis is steadily rising. References: [1] [2] [3] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]

[…] necessary for multidrug resistant and extensively drug resistant TB Surgery may be necessary in the setting of perforation or obstruction Today, colonic TB is uncommon but in the preantibiotic era, 70% of patients who died developed gastrointestinal TB Epidemiology [pathologyoutlines.com]

An epidemiologic cohort-study. Dan Med Bull 1997;44:287-302. 2. Scotiniotis I, Rubesin SE, Ginsberg GG. Imaging modalities in inflammatory bowel disease. Gastroenterol Clin North Am 1999;28:391-421. 3. [jmedtropics.org]

Epidemiology and outcome of Crohn's disease in a teaching hospital in Riyadh. World J Gastroenterol 2004;10:1341-4. [ PUBMED ] [ FULLTEXT ] 3. Kirsch R, Pentecost M, Hall Pde M, Epstein DP, Watermeyer G, Friederich PW. [saudijgastro.com]

[…] gastrointestinal TB have ileocecal disease Also other colorectal sites Multiple sites in 28 - 44% Ileocecum is most common site of abdominal and gastrointestinal TB Isolated colorectal involvement is uncommon - only 10.8% of abdominal gastrointestinal TB Pathophysiology [pathologyoutlines.com]

References: [7] [8] [9] Pathophysiology Clinical features Latent infection Asymptomatic The patient is not contagious. [amboss.com]

PATHOPHYSIOLOGY OF ABDOMINAL TB There are several ways by which tuberculosis can involve abdomen (Table 1 )[ 10, 11 ]. Firstly, the tubercle bacilli may enter the intestinal tract through the ingestion of infected milk or sputum. [ncbi.nlm.nih.gov]

"Drug-resistant tuberculosis: etiology, management and prevention". Seminars in Respiratory Infections. 9 (2): 104–12. PMID 7973169. ^ Centers for Disease Control and Prevention (CDC) (March 2006). [en.wikipedia.org]

References: [4] [25] [26] [27] [28] [29] Prevention [amboss.com]

Contact screening See the separate article on Tuberculosis Prevention and Screening. [patient.info]

Therefore, ITB should be always kept in mind in this situation and survey, such as culture or PCR for mycobacterial DNA, should be considered in TB endemic areas to prevent further depressing scenario. [springerplus.springeropen.com]

Early diagnosis and initiation of antituberculous therapy and surgical treatment are essential to prevent morbidity and mortality. [ncbi.nlm.nih.gov]