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[Isolated colonic tuberculosis]

T Pérez Fernández1, V Moreira Vicente, E Sanz Villalobos

  • 1Servicio de Gastroenterología, Hospital Ramón y Cajal, Madrid.

Gastroenterologia Y Hepatologia
|March 21, 1998
PubMed
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Colonic tuberculosis (TB) can mimic other conditions in elderly women. Early diagnosis and treatment with anti-TB drugs are crucial for favorable outcomes.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Oncology

Background:

  • Colonic tuberculosis (TB) is a rare form of extrapulmonary TB.
  • It often presents with nonspecific symptoms, complicating diagnosis.

Observation:

  • Two elderly, non-HIV women presented with constitutional symptoms, fever, abdominal pain, and diarrhea.
  • Imaging revealed colonic stenosis; endoscopy showed inflammation and granulation tissue.
  • Diagnosis was confirmed postoperatively via surgical specimen biopsy revealing granulomas and acid-alcohol resistant bacilli.

Findings:

  • Colonic TB can present atypically in the elderly.
  • Diagnosis often requires surgical intervention and histological examination.
  • Acid-alcohol resistant bacilli in granulomas confirmed TB.

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Implications:

  • Highlights the importance of considering colonic TB in elderly patients with unexplained gastrointestinal symptoms.
  • Emphasizes the role of histopathology in diagnosing challenging TB cases.
  • Successful treatment with tuberculostatic agents underscores the efficacy of standard TB therapy.