Villagrana-Zesati JR, Cepeda-Silva A, Araiza-Illán MA, Sosa-González I, Galván-Contreras R

Language: Spanish
References: 16
Page: 555-560
PDF size: 226.94 Kb.

ABSTRACT

Background: The abdominal cavity its considerate the 6th most frequent extrapulmonary presentation of tuberculosis. This disease can affect other anatomy sites of gastrointestinal tract, peritoneum and hepatobiliary system.
Objetive: To report an infrequent variant of intestinal tuberculosis, an illness known as the “great simulator”, related to pregnancy.
Clinic case: a 17-year-old primigravidum patient without previous history, asymptomatic, non-immunological involvement, with intestinal tuberculosis and multiple perforations, whose were identified during cesarean section. The diagnosis was established after of microbiological and histopathological studies. The evolution of the mother and the newborn were satisfactory and continued with antiphimic treatment.
Conclusion: Despite great advances in medicine, tuberculosis remains a serious public health problem with a high rate of morbimorbidity. The transcesarean finding, the strong suspicion of tuberculosis and early treatment limited the morbimorbidity of our patient.

REFERENCES

1. Wallis RS, Maeurer M, Mwaba P, Chayaka J, Rustomjee R, et al. Tuberculosis-advances in development of new drugs, treatment regimens, host-directed therapies and biomarkers. Lancet Infect Dis 2016;16(14):e34-46.

2. Dirección General de Epidemiología, Boletín Epidemiológico, SINAVE, N°52, VOL 33, Semana 52, Dic 2016, México.

3. Awasthi S, Saxena M, Ahman F, Kumar A, Dutta S. Abdominal tuberculosis: a diagnostic dilemma. J Clin Res Diagn 2015;9(5):EC01-EC03.

4. Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res.2004;120:305-15.

5. Shi XC, Zhang LF, Zhang YQ, Liu XQ, Fei GJ. Clinical and laboratory diagnosis of intestinal tuberculosis. Chin Med J (Engl) 2016;129(11):1330-3.

6. Kim SH, Kim JW, Jeong JB, Lee KL, Kim BG, Choi YH. Differential diagnosis of Crohn’s disease and intestinal tuberculosis in patients with spontaneous small-bowel perforation. Dig Surg 2014;31(2):151-6.

7. García-Cortés MJ, Pérez-Bañasco V, Sánchez-Perales C, García-Marcos S, Martínez-Victoria JM et al. Tuberculosis ileocecal durante hemodiálisis simulando un carcinoma de colon. Nefrología 2001;21:314-8.

8. Hernández-Martínez L, Membrilla-FernándezE, Dot- Jordana I, Grande-Posa L, Sancho-Insenser JJ. Tuberculosis intestinal. Cir Esp 2015;93(6):417-419.

9. Wang HS, Chen WS, Su WJ, Lin JK, Lin TC, et al. The changing pattern of intestinal tuberculosis: 30 years experience. Int J Tuberc Lung Dis 1998;2(7):569-74.

10. Pérez-De Río MJ, Fresno M, Díaz-Iglesias JM, Veiga M, Álvarez E, et al. Tuberculosis intestinal, un difícil diagnóstico de presunción. An Med Interna 1999;16:469-72.

11. Ma JY, Tong JL, Ran ZH. Intestinal tuberculosis and Crohn's disease: challenging differential diagnosis. J Dig Dis. 2016 Mar;17(3):155-61.

12. Talwar S, Talwar R, Prasad P. Tuberculous perforations of the small intestine. Int J Clin Pract 1999;53(7):514-18.

13. Sharma D, Gupta A, Jain B, et al. Tuberculous gastric perforation: report of a case. Surg Today 2004;34:537. doi:10.1007/s00595-004-2745-1.

14. Santana EF, Araujo-Júnior E, Campanharo FF, Sarmento SG, Saito CS, Moron AF. Tuberculosis in pregnancy: a challenging differential diagnosis for inflammatory bowel disease. Ceska Gynekol 2014;79(4):305-308.

15. Kothari A, Mahadevan N, Girling J. Tuberculosis and pregnancy- results of a study in a high prevalence area in London. Eur J Obstet Gynecol Reprod Biol. (2006);126(1):48-55 doi:10.1016/j.ejogrb.2005.07.025

16. Lewinsohn DM, Leonard MK, LoBue PA, Cohn DL, Daley CL, et al. Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children. CID 2017;64:e1-e33.