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Concomitant lung and intestinal tuberculosis - case report
Floarea Mimi Niţu1, Cristina Călăraşu, Roxana Maria Nemeş
1Department of Pedodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Romania; m03olteanu@yahoo.com.
Summary
Tuberculosis (TB) is a significant global health issue. This case highlights the importance of suspecting intestinal TB, even with non-specific symptoms, and using histopathology for accurate diagnosis.
Area of Science:
- Medicine
- Infectious Diseases
- Gastroenterology
Background:
- Tuberculosis (TB) causes millions of deaths annually, with abdominal TB posing diagnostic challenges due to non-specific symptoms and tests.
- Clinical presentation, imaging, and histopathology for TB enteritis can mimic other conditions like cancer or inflammatory bowel disease.
Observation:
- A 42-year-old male presented with intestinal obstruction, initially suspected as other conditions.
- Computed tomography (CT) revealed pulmonary nodules and bowel wall thickening with mesenteric lymphadenopathy.
- Diagnosis was complicated by non-specific findings, necessitating further investigation.
Findings:
- Concomitant lung and intestinal tuberculosis was confirmed through sputum analysis and histopathology.
- The patient's condition improved significantly after initiating anti-tuberculous treatment.
Implications:
- Emphasizes the critical role of clinical suspicion and histopathology in diagnosing challenging extra-respiratory TB cases.
- Highlights the need for a multidisciplinary approach in managing and following up on TB patients.
- Recommends considering TB in patients presenting with non-specific symptoms, regardless of initial presentation.
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