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Multidrug-resistant tubercular appendicitis: Report of a case
Afshin Moniri1, Majid Marjani1, Payam Tabarsi1
1Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
International Journal of Mycobacteriology
|January 21, 2016
Summary
Acute appendicitis caused by tuberculosis is rare, even with widespread tuberculosis cases. This study details a patient with multidrug-resistant pulmonary tuberculosis who developed appendicitis, showing a positive outcome after treatment.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Pulmonology
Background:
- Tuberculosis (TB) is a prevalent infectious disease globally.
- Acute appendicitis is a common surgical emergency.
- Tubercular appendicitis is an uncommon manifestation of TB.
Purpose of the Study:
- To report a rare case of acute appendicitis in a patient with multidrug-resistant (MDR) pulmonary tuberculosis.
- To highlight the diagnostic and therapeutic considerations for tubercular appendicitis.
Main Methods:
- Case report of a patient diagnosed with MDR pulmonary tuberculosis.
- Clinical presentation, diagnostic workup, and histopathological examination of the appendix.
- Surgical intervention and medical management of the patient.
Main Results:
- The patient presented with symptoms suggestive of acute appendicitis.
- Histopathology confirmed appendiceal tuberculosis.
- The patient experienced a favorable outcome following appendectomy and anti-TB therapy.
Conclusions:
- Acute appendicitis can be a rare manifestation of tuberculosis, even in cases of MDR pulmonary TB.
- Prompt diagnosis and appropriate treatment, including surgery and medical therapy, lead to good outcomes.
- Increased awareness among clinicians is crucial for recognizing this rare condition.
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