scholarly journals Synchronic Pulmonary and Intestinal Tuberculosis in an Elderly Patient

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

scholarly journals A Rare Case of Pneumoperitoneum in Pregnancy: Perforation of Tubercular ileal Ulcer

2021 ◽  
Vol 5 (8) ◽  
pp. 01-04
Author(s):  
Richmond Ronald Gomes
Keyword(s):  
Terminal Ileum ◽  
Wedge Resection ◽  
Intestinal Tuberculosis ◽  
Granulomatous Inflammation ◽  
Tuberculosis Patient ◽  
Free Perforation ◽  
Ileal Perforation ◽  
Migrant Communities ◽  
Inflammatory Bowel ◽  
Anti Tubercular Therapy

The incidence of tuberculosis (TB) is rising worldwide, despite the efficacy of the BCG vaccination. Populations at greatest risk of contracting TB are migrant communities, as well as immunocompromised individuals. The diagnosis of intestinal tuberculosis can often present as a diagnostic conundrum, due to its nonspecific and varied presentation, often mimicking inflammatory bowel disease or malignancy. Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. We present a 25 year old 17 weeks primi presented with peritonitis with solitary perforation of terminal ileum with miscarriage of fetus and subsequent surgical wedge resection of ileum and ileo-ileal anastomosis. Histology revealed presence of Langerhan’s cell with caseating granulomatous inflammation. There was no radiological evidence of pulmonary tuberculosis. Patient was started on anti-tubercular therapy and responded well. This present case underscores the importance of biopsy specimens taken from the margins of patients with ileal perforation to avoid the misdiagnosis of such condition.

scholarly journals Acute Spontaneous Multiple Ileal Tuberculosis Perforation: A Case Report

2017 ◽  
Vol 3 (2) ◽  
pp. 52-54
Author(s):  
Md Aminullah ◽  
Fahmida Akter Rima ◽  
Jamal Abdul Naser ◽  
Farzana Kabir ◽  
Waliullah Fuad ◽  
...  
Keyword(s):  
Lymph Node ◽  
Terminal Ileum ◽  
Histopathological Examination ◽  
Good Condition ◽  
Intestinal Tuberculosis ◽  
Granulomatous Inflammation ◽  
Exploratory Laparotomy ◽  
Excisional Biopsy ◽  
Free Perforation ◽  
Diffuse Abdominal Pain

A 18 years old boy presented with severe diffuse abdominal pain, constipation, abdominal distention, fever and diagnosed as a case of perforation as free gas noted under both dome of the diaphragm. After resuscitation, exploratory laparotomy was done and diagnosed as a case of multiple spontaneous leaky perforations of jejunum and ileum 25 to 30 cm from duodeno-Jejunal flexure (DJ) up to terminal ileum. Peritoneal toileting and excisional biopsy of the mesenteric lymph node were done. Operative and postoperative period were uneventful. Histopathological examination of the resected lymph node revealed granulomatous inflammation compatible with tuberculosis. Anti-tubercular therapy was started and continued for 6 months. Patient was discharged on the 12th postoperative day in a good condition. At 3 months of follow up the patient was asymptomatic and thriving well. Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. Bangladesh Journal of Infectious Diseases 2016;3(2):52-54

scholarly journals Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Irfan Masood ◽  
Zain Majid ◽  
Ali Rafiq ◽  
Waqas Rind ◽  
Aisha Zia ◽  
...  
Keyword(s):  
Small Bowel ◽  
Terminal Ileum ◽  
Intestinal Tuberculosis ◽  
Exploratory Laparotomy ◽  
Common Site ◽  
Free Perforation ◽  
Generalized Peritonitis ◽  
Enteric Perforation

Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. Herein, we describe a case of a 25-year-old male who presented with generalized peritonitis requiring an emergency exploratory laparotomy, which revealed pan-enteric perforation characterized by multiple perforations of the small bowel extending 10–15 cm from the DJ flexure up to the terminal ileum. The perforations were primarily closed, while 6–8 cm of the diseased terminal ileum was resected and the two ends were brought out as double-barreled ostomy. To the best of our knowledge, such an extensive tuberculous perforation of the small bowel has not been previously reported in the literature before.

scholarly journals Acute Disseminated Encephalomyelitis following Seasonal Influenza Vaccination in an Elderly Patient

2013 ◽  
Vol 20 (9) ◽  
pp. 1485-1486 ◽  
Author(s):  
Jorge D. Machicado ◽  
Bhavana Bhagya-Rao ◽  
Giovanni Davogustto ◽  
Brandy J. McKelvy
Keyword(s):  
Elderly Patient ◽  
Influenza Vaccination ◽  
Plasma Exchange ◽  
Elderly Woman ◽  
Seasonal Influenza ◽  
Acute Disseminated Encephalomyelitis ◽  
Guillain Barre Syndrome ◽  
Cranial Neuropathy ◽  
Seasonal Influenza Vaccination ◽  
Immune Phenomena

ABSTRACTAlthough such occurrences are rare, it should be recognized that certain vaccines might trigger serious neurological immune phenomena such as Guillain-Barre syndrome, seizures, cranial neuropathy, and acute disseminated encephalomyelitis (ADEM). Here we report on an elderly woman with ADEM following seasonal influenza vaccination who recovered after plasma exchange.

scholarly journals Mycobacterium aviumSubsp.aviumInfection in Four Veal Calves: Differentiation from Intestinal Tuberculosis

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Christine Goepfert ◽  
Nadine Regenscheit ◽  
Vanessa Schumacher ◽  
Simone Roos ◽  
Christophe Rossier ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Mycobacterium Avium ◽  
Intestinal Tuberculosis ◽  
Clinical Signs ◽  
Domestic Animals ◽  
Intracellular Pathogen ◽  
Veal Calves ◽  
Mycobacterium Avium Intracellulare ◽  
Granulomatous Enteritis ◽  
Positive Results

Mycobacterium aviumsubsp.avium(Maa) is an intracellular pathogen belonging to theMycobacterium avium-intracellularecomplex (MAC). Reservoirs of MAC are the natural environment, wildlife and domestic animals. In adult bovine, MAC infections are typically caused byMycobacterium aviumsubsp.paratuberculosis(Map). Maa infections in bovine are rarely reported but may cause clinical disease and pathological lesions similar to those observed in paratuberculosis or those induced by members of theMycobacterium tuberculosiscomplex (MTBC). Therefore, differentiation of MAC from MTBC infection should be attempted, especially if unusual mycobacterial lesions are encountered. Four veal calves from a fattening farm dying with clinical signs of otitis media, fever, and weight loss were submitted for necropsy. Samples from affected organs were taken for histologic investigation, bacteriologic culture, and bacterial specification using PCR. Macroscopic thickening of the intestinal mucosa was induced by granulomatous enteritis and colitis. Intracytoplasmic acid-fast bacteria were detected by Ziehl-Neelsen stains and PCR revealed positive results forMycobacterium aviumsubsp.avium. Clinical and pathological changes of Maa infection in veal calves had features ofMycobacterium aviumsubsp.paratuberculosisand the MTBC. Therefore,Mycobacterium tuberculosiscomplex infection should be considered in cases of granulomatous enteritis in calves.

Osmosin and Ileal Ulceration: A Case Report

1985 ◽  
Vol 30 (1) ◽  
pp. 40-41 ◽  
Author(s):  
I.A. Cree ◽  
M. A. Walker ◽  
Margaret Wright ◽  
J. C. Forrester
Keyword(s):  
Case Report ◽  
Acute Abdomen ◽  
Postoperative Period ◽  
Terminal Ileum ◽  
Inflammatory Infiltrate

A 78-year-old woman presented with an acute abdomen and was found to have a perforation of her terminal ileum. She did not survive the postoperative period and at necropsy was found to have numerous ulcers of the ileum. In the ulcerated areas there was a transmural chronic inflammatory infiltrate, but no evidence of granulomata. We believe that this ulceration was caused by ingestion of Osmosin tablets containing indomethacin and suggest a possible pathogenesis.

scholarly journals Tuberculous Enteritis Presenting as Acute Appendicitis and Perirectal Abscess

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Kelechukwu U. Okoro ◽  
Maria Gomez De La Espriella ◽  
Douglas J. Grider ◽  
Anthony W. Baffoe-Bonnie
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Acute Appendicitis ◽  
Alimentary Canal ◽  
Rare Occurrence ◽  
Gastrointestinal Tuberculosis ◽  
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.

Sign in / Sign up

Export Citation Format

Share Document