Tuberculous Enteritis Presenting as Acute Appendicitis and Perirectal Abscess

Mycobacterium tuberculosis has a wide variety of presentations. A rare occurrence is gastrointestinal tuberculosis. It may occur anywhere along the alimentary canal but usually occurs in the ileocecum with rare involvement of the appendix.

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Thoracic actinomycosis: a rare occurrence

Infectious Disease Reports ◽

10.4081/idr.2016.5963 ◽

2016 ◽

Vol 8 (1) ◽

Cited By ~ 3

Author(s):

Waqas Jehangir ◽

Bhumesh Vaidya ◽

Souad Enakuaa ◽

Nazar Raoof ◽

John R. Middleton ◽

...

Keyword(s):

Computed Tomography ◽

Alimentary Canal ◽

Surgical Repair ◽

Acute Onset ◽

Blood Cultures ◽

Esophageal Rupture ◽

Rare Occurrence ◽

Normal Flora ◽

Clinical Form ◽

Thoracic Actinomycosis

<em>Actinomyces israelii</em> is a branching anaerobic bacilli microorganism that can be identified as normal flora throughout various portions of the human alimentary canal. It is crucial to establish a diagnosis as treatment will vary depending on the clinical form of the disease. We report a case of a 78-year-old man who initially presented with an acute onset of respiratory distress displayed contrast leakage on computed tomography from the site of a previously inserted esophageal stent for an unsuccessful surgical repair of an esophageal rupture. In addition to the contrast leakage, the presence of a bronchopulmonary fistula imaging prompted the need for further investigation. Our patient was empirically treated with antibiotics and obtained blood cultures, which returned positive <em>A. israelii.</em>

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Tubercular Abscess of the Spleen in a Child: Conservative Management and Long-Term Follow-Up

Journal of Pediatric Infectious Diseases ◽

10.1055/s-0037-1604104 ◽

2017 ◽

Vol 13 (04) ◽

pp. 316-318

Author(s):

Vijai Williams ◽

Sarvanan Chandrasekaran ◽

Keerthivasan Seetharaman ◽

Kushaljit Sodhi ◽

Devi Dayal

Keyword(s):

Mycobacterium Tuberculosis ◽

Splenic Abscess ◽

Complete Healing ◽

Rare Occurrence ◽

Line Probe Assay ◽

Rare Manifestation ◽

Long Term Follow Up ◽

Probe Assay

AbstractIsolated involvement of the spleen is a rare manifestation of childhood tuberculosis. The rare occurrence and presence of nonspecific clinical features often pose diagnostic challenges even in countries where tuberculosis is endemic. Splenectomy is often performed for establishing the diagnosis or achieving a cure in combination with antitubercular therapy (ATT). In this report, we describe a boy who presented with nonspecific symptoms and was detected to have a well-defined lesion in the spleen on ultrasonography. The diagnosis of tubercular splenic abscess was made after line probe assay for the detection of Mycobacterium tuberculosis and cytomorphology of the aspirated material. The tubercular abscess showed complete healing after 9 months of four-drug ATT.

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XXII.—The Structure and Function of the Alimentary Canal of some Tectibranch Molluscs, with a Note on Excretion

Transactions of the Royal Society of Edinburgh ◽

10.1017/s0080456800017361 ◽

1939 ◽

Vol 59 (3) ◽

pp. 599-646 ◽

Cited By ~ 61

Author(s):

Vera Fretter

Keyword(s):

Digestive Tract ◽

Alimentary Canal ◽

Structure And Function ◽

Histological Structure ◽

Rare Occurrence ◽

Increasing Knowledge ◽

And Function ◽

Recent Account

Owing to the comparatively rare occurrence of most tectibranchs it is perhaps not surprising to find that, in spite of the ever-increasing knowledge of the histological structure and functioning of the alimentary canal of molluscs, little attention has been paid in this respect to these forms. The structure of the radula and gizzard has previously aroused interest, but so far as the rest of the alimentary canal is concerned most workers have been content with a somewhat superficial description of the gross morphology such as was given by Vayssière (1880), Bouvier (1893), Pelseneer (1893, 1894), and Guiart (1901). A more recent account of the digestive tract of Philine aperta has been given by Brown (1934), but this includes no histological or physiological consideration.

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Synchronic Pulmonary and Intestinal Tuberculosis in an Elderly Patient

10.33169/surg.gsoaoj-i-111 ◽

2020 ◽

Vol I (3) ◽

pp. 40-42

Author(s):

Tirado-Peraza AI

Keyword(s):

Elderly Patient ◽

Mycobacterium Tuberculosis ◽

Acute Abdomen ◽

Terminal Ileum ◽

Elderly Woman ◽

Intestinal Tuberculosis ◽

Free Perforation ◽

Gastrointestinal Tuberculosis

We present the case of an elderly woman who presented to the ER with acute abdomen. During surgery, a free perforation in terminal ileum was found so ileostomy and resection were made. Pathology examination reported intestinal tuberculosis, and plain thorax radiography showed a classic Ghon complex. We present a brief report of this uncommon entity. Keywords: Gastrointestinal Tuberculosis; Mycobacterium tuberculosis Infections; Ileostomy

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Appendicular Tuberculosis as Manifestation of Gastrointestinal Tuberculosis: A Case Report

Jurnal Respirasi ◽

10.20473/jr.v7-i.3.2021.122-126 ◽

2021 ◽

Vol 7 (3) ◽

pp. 122

Author(s):

Yuliza Yuliza ◽

Alfian Nur Rosyid ◽

Wiwin Is Effendi ◽

Prastuti Asta Wulaningrum ◽

Herley Windo Setiawan

Keyword(s):

Abdominal Pain ◽

Acute Appendicitis ◽

Histopathological Examination ◽

Signs And Symptoms ◽

Definitive Diagnosis ◽

Chronic Abdominal Pain ◽

Gastrointestinal Tuberculosis ◽

Clinical Presentations ◽

Histopathology Result ◽

The Right

Introduction: Gastrointestinal tuberculosis (GI TB) is quite rare with 3% incidence of all extrapulmonary involvement. Appendicular TB may occur in 0.1 - 3% of cases. Diagnosis is often difficult because the patient usually complains about chronic abdominal pain and fever. A definite diagnosis is based on histopathological examination of resected specimens from the appendectomy procedure.Case: We present a 37-year-old male patient admitted to the hospital with chronic abdominal pain, fever, nausea, and loss of body weight. The patient never had a persistent cough, hemoptysis, or night sweating. Physical examination showed pain and muscular rigidity in the right iliac area during palpation with Blumberg's sign and Rovsing's sign positive. Abdomen ultrasound imaging showed an appendicular abscess. The patient underwent appendectomy afterwards with histopathology result showing TB. The patient was treated with first category anti-tuberculosis drugs (ATD).Discussion: Diagnosis of appendicular TB is difficult due to unspecific clinical presentations. Appendicular TB patients often complain of signs and symptoms which are similar to acute appendicitis. These conditions can delay ATD treatment because the definitive diagnosis could be made after histopathological examination.Summary: Appendicular TB is a rare case of extrapulmonary TB. It can present as acute appendicitis. The definitive diagnosis is based on the histopathological examination. It is recommended to check the appendicectomy specimens histopathologically to exclude TB or other diseases.

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