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Tuberculous Enteritis Presenting as Acute Appendicitis and Perirectal Abscess.
Kelechukwu U Okoro1, Maria Gomez De La Espriella2, Douglas J Grider3
1Department of Internal Medicine, Virginia Tech Carilion-School of Medicine and Research Institute, Roanoke, VA, USA.
Case Reports in Medicine
|March 22, 2018
Summary
Gastrointestinal tuberculosis, a rare presentation of Mycobacterium tuberculosis, most commonly affects the ileocecum. While it can impact any part of the digestive tract, appendix involvement is exceptionally uncommon.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Gastroenterology
Background:
- Mycobacterium tuberculosis is a bacterium primarily known for causing pulmonary disease.
- Tuberculosis can manifest in various extrapulmonary sites, presenting diagnostic challenges.
Observation:
- Gastrointestinal tuberculosis (GITB) represents a rare clinical manifestation of Mycobacterium tuberculosis infection.
- GITB can affect any segment of the alimentary tract, from the esophagus to the rectum.
Findings:
- The ileocecum is the most frequent site of gastrointestinal tuberculosis.
- Involvement of the appendix by Mycobacterium tuberculosis is exceedingly rare, highlighting anatomical predilections.
Implications:
- Understanding the varied presentations of Mycobacterium tuberculosis is crucial for accurate diagnosis.
- Recognition of rare sites like appendiceal tuberculosis is important for comprehensive clinical awareness and management.
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