Edit concept Question Editor Create issue ticket

Ileocecal Tuberculosis


Presentation

  • Abstract Three cases of ileocecal tuberculosis are presented with a review of pathogenesis, diagnosis and therapy.[ncbi.nlm.nih.gov]
  • Abstract 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]
  • 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]
  • The case study presentation provides an excellent review tool for the American Board of Colon and Rectal Surgery exam.[books.google.com]
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]
  • Case Report: Ileocecal Tuberculosis Abstract A 25 year-old female recent immigrant from Southeast Asia is admitted to hospital with chronic cough and fever with a new onset of bloody diarrhea.[ojs.library.ubc.ca]
  • 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]
  • Likely cause is Exam: AIIMS Pre PG - May - 2010 A pt presents with acute rheumatic carditis with fever.[quespedia.com]
  • No fever, chills, nor night sweats were reported. Colonoscopy revealed an ulcer with exudate at the ileocecal valve. Moreover, a circumferential, friable, nodular mass partially obstructing the lumen was noted 6 to 10 cm from the anal verge.[oncologypro.esmo.org]
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]
  • 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]
  • Patients infected with Mycobacterium Tuberculosis(Mtb) may present with ileocecal infection, weight loss and bleeding per rectum.[journals.lww.com]
Collapse
  • May result in lobar collapse, bronchiectasis, pleural effusion and pneumonia. Genitourinary : the most common site outside the lungs often presents with 'sterile' pyuria.[patient.info]
Chronic Fatigue Syndrome
  • Kradin has a number of clinical interests including Chronic Fatigue Syndrome, Interstitial Lung Disease, Multiple Chemical Sensitivity and Pulmonary Immunology. He also holds an Associate Professor position of Pathology at Harvard Medical School.[books.google.com]
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]
Chronic Cough
  • Case Report: Ileocecal Tuberculosis Abstract A 25 year-old female recent immigrant from Southeast Asia is admitted to hospital with chronic cough and fever with a new onset of bloody diarrhea.[ojs.library.ubc.ca]
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
  • 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]
  • Ileocecal TB usually presents with abdominal pain and occasionally with sub acute intestinal obstruction.[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]
  • Even in the clear-cut cases, abdominal pain is of varying constancy and intensity.[pubs.rsna.org]
Chronic Abdominal Pain
Recurrent Abdominal Pain
  • 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]
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]
Foreign Body Sensation
  • 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]
Cryptorchidism
  • […] is Exam: AIIMS Pre PG - May - 2010 Cardiovascular complications of HIV infection include all of the following except Exam: AIIMS Pre PG - May - 2010 Rapid infusion of insulin causes Exam: AIIMS Pre PG - May - 2010 All of the following are true about cryptorchidism[quespedia.com]

Workup

  • 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]
Erythroblast
  • .: “Target Cell” Anemia: Anerythroblastic Type of Cooley’s Erythroblastic Anemia, Am. Jour. Med. Sei., 200, 495, 1940. Google Scholar 8. Strauss, M. D., Daland, G. A., and Fox, H. J.: Familial Microcytic Anemia, Am. Jour. Med. Sci., 201, 30, 1941.[link.springer.com]
Microcytic Anemia
  • .: Familial Microcytic Anemia, Am. Jour. Med. Sci., 201, 30, 1941. CrossRef Google Scholar 9. Schieber, C. L.: Target Cell Anemia, Lancet, 2, 851, 1945.[link.springer.com]
Colitis
  • Our study shows non-caseating granuloma is not significant to the differential diagnosis of tuberculous colitis from Crohn’s colitis.[wjgnet.com]
  • Diffuse ulcerating colitis pseudopolyps c. Amputated/ coned/ contracted caecum III) Gastroduodenal: a. Simultaneous involvement of pylorus duodenum à 'linitus plastic' appearance. b.[gradestack.com]
  • .: Ileocecal Tuberculosis, Including a Comparison of This Disease with Non-specific Regional Entero Colitis and Noncaseous Tuberculated Enterocolitis, Int. Abst. Surg., 91, 417, 1950. Google Scholar 6. Bargen, J.[link.springer.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 fiber colonoscopy diagnosis of tuberculous colitis. Endoscopy 1975;7:113-21. 9. D'Haens G, Rutgeerts P. Endoscopic evaluation. In: Prantera C, Korelitz B, editors. Crohn's Disease. 1 st ed. New York: Marcel Dekker, Inc.; 1996. p. 113-23. 10.[jmedtropics.org]

Treatment

  • Differentiation from Crohn's disease is a major diagnostic problem on which rational treatment depends. An angiographic appearance demonstrated in two patients is believed to be a useful diagnostic indicator of tuberculous etiology.[ncbi.nlm.nih.gov]
  • […] of anti-tuberculosis treatment ( P 0.01, Table 3 ).[wjgnet.com]
  • SHOW SIDEMENU Date 24 November 2018 Event ESMO Asia 2018 Congress Session Poster display - Cocktail Topics Colon and Rectal Cancer Cancer Treatment in Patients with Comorbidities Presenter Jan Michael Jesse Lomanta Authors J.M.J.C.[oncologypro.esmo.org]
  • .: Surgical Treatment of Tuberculosis of the Large Bowel, Surg. Gyn. Obst., 55, 494, 1932. Google Scholar 5. Hoon, J. R., Dockerty, M.[link.springer.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]

Prognosis

  • 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]
  • […] 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]
  • […] normally presents concurrently with pulmonary TB Clinical features Diagnosis Sepsis tuberculous accutissima (Landouzy septicemia, typhobacillosis of Landouzy) Description: septic progression of primary TB in an immunocompromised patient with a very poor prognosis[amboss.com]

Etiology

  • An angiographic appearance demonstrated in two patients is believed to be a useful diagnostic indicator of tuberculous etiology.[ncbi.nlm.nih.gov]
  • 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]
  • 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]
  • A full colonoscopy was carried out in order to determinate the exact etiology of this hemorrhage of the patient, in this image and the video clip shows some diverticulae and dark blood. Video Endoscopic Sequence 2 of 11.[gastrointestinalatlas.com]
  • He had history of an episode of pancreatitis of unknown etiology 3 years prior to this hospitalization, allergy to ceftriaxone, and a right orchiectomy for non-specified reason.[elsevier.es]

Epidemiology

  • 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]
  • 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]
  • […] 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]
  • Epidemiology [ 3 ] The rates of TB have stabilised in the UK over a period of seven years, following the increase in the incidence from 1990 to 2005.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • […] 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]

Prevention

  • References: [4] [25] [26] [27] [28] [29] Prevention[amboss.com]
  • Contact screening See the separate article on Tuberculosis Prevention and Screening.[patient.info]
  • The patient, however, demonstrated fluctuant reluctance to medical advice which raised some doubts about adherence to our preventive and therapeutic recommendations.[omicsonline.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!