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Sequencing of Bacterial Microflora in Peripheral Blood: our Experience with HIV-infected Patients
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Gastrointestinal Tuberculosis Presenting as a Massive Lower Gastrointestinal Bleed in a Patient With Newly Diagnosed

Kevan Josloff1, Kathleen Spritzer2, Anna Chen3

  • 1Thomas Jefferson University Hospital, Internal Medicine Department, Philadelphia, PA.

ACG Case Reports Journal
|August 20, 2025
PubMed

Gastrointestinal tuberculosis (GI TB) is an uncommon sequela of extrapulmonary TB, occurring in 1%-3% of TB cases worldwide. In the United States, many cases are seen in migrant populations or in immunocompromised individuals. The classic presentation of GI TB is nonspecific abdominal pain, and is not typically associated with significant, life-threatening bleeding. We present a case of GI TB complicated by severe lower GI bleed requiring vasopressor support in a newly emigrated patient with previously undiagnosed HIV/AIDS.

Keywords:
HIV/AIDSabdominal tuberculosisgastrointestinal bleedgastrointestinal tuberculosismassive transfusion protocoltuberculosis

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