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[Gastric tuberculosis in an elderly patient:a case report]
Yuichi Kano1, Hideko Yamamoto1, Takehito Naito1
1Department of Gastroenterology, Toyohashi Municipal Hospital.
Summary
This case study highlights gastric tuberculosis (GTB) in an elderly patient presenting with common gastrointestinal symptoms. Early diagnosis is crucial for effective treatment of this rare condition.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Pathology
Background:
- Gastric tuberculosis (GTB) is a rare form of extrapulmonary tuberculosis, often presenting with nonspecific symptoms mimicking other gastric pathologies.
- The incidence of tuberculosis, including GTB, is a concern in aging populations, necessitating differential diagnostic considerations.
Observation:
- An elderly woman presented with epigastric pain, back pain, and weight loss.
- Esophagogastroduodenoscopy revealed multiple gastric submucosal tumors in the corpus.
- Histopathological examination showed non-caseating epithelioid granulomas.
Findings:
- The patient was diagnosed with gastric tuberculosis.
- Biopsy results confirmed non-caseating epithelioid granuloma.
- Gastric fluid analysis yielded a positive culture for Mycobacterium tuberculosis, further confirmed by polymerase chain reaction (PCR) assay.
Implications:
- This case underscores the importance of considering gastric tuberculosis in the differential diagnosis of gastric lesions, especially in elderly patients.
- Accurate and timely diagnosis of GTB is essential for appropriate management and to prevent complications.
- This case contributes to understanding the clinical presentation and diagnostic pathway of gastric tuberculosis.
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