A Severe Case of Tuberculosis Radiologically and Endoscopically Mimicking Colorectal Cancer with Peritoneal Carcinomatosis

Overview

Journal Case Rep Gastrointest Med

Publisher Wiley

Specialty Gastroenterology

Date 2017 Nov 8

PMID 29109875

Citations 5

Authors

Timo Rath

Raja Atreya

Walter Geissdorfer

Roland Lang

Andreas Nagel

Markus F Neurath

Affiliations

Soon will be listed here.

Abstract

Although generally rising in incidence, intestinal tuberculosis is still rare in western countries and due to unspecific manifestations mainly as ulcerations on endoscopy, diagnosis of intestinal tuberculosis is challenging. Within this report, we describe a case of severe intestinal tuberculosis radiologically and endoscopically masquerading as colorectal cancer with peritoneal carcinomatosis. Our case exemplifies that intestinal tuberculosis needs to be considered as a differential diagnosis in patients at risk and that undelayed and sensitive diagnosis of intestinal tuberculosis is of central importance for avoiding unfavorable disease outcome.

Citing Articles

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A hybrid metaheuristic-deep learning technique for the pan-classification of cancer based on DNA methylation.

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Ileocaecal Tuberculosis Presenting with Massive Hematochezia: A Rare Clinical Manifestation.

Mehta N, Paudyal M, Shah S, Chamlagain R, Shrestha M, Mehta A Case Rep Gastrointest Med. 2021; 2021:1161135.

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Tuberculosis Mimicking Disseminated Peritoneal Carcinomatosis of a Sigmoid Carcinoma.

Fahlbusch T, Kunzli B, Schlottmann R, Tannapfel A, Uhl W, Braumann C J Gastrointest Surg. 2018; 23(4):877-878.

PMID: 29736664 DOI: 10.1007/s11605-018-3800-3.

References

Sato S, Yao K, Yao T, Schlemper R, Matsui T, Sakurai T . Colonoscopy in the diagnosis of intestinal tuberculosis in asymptomatic patients. Gastrointest Endosc. 2004; 59(3):362-8. DOI: 10.1016/s0016-5107(03)02716-0. View

Misra S, Misra V, Dwivedi M, Gupta S . Colonic tuberculosis: clinical features, endoscopic appearance and management. J Gastroenterol Hepatol. 1999; 14(7):723-9. DOI: 10.1046/j.1440-1746.1999.01940.x. View

Marshall J . Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol. 1993; 88(7):989-99. View

Pai M, Minion J, Steingart K, Ramsay A . New and improved tuberculosis diagnostics: evidence, policy, practice, and impact. Curr Opin Pulm Med. 2010; 16(3):271-84. DOI: 10.1097/MCP.0b013e328338094f. View

Martinez Tirado P, Lopez De Hierro Ruiz M, Martinez Garcia R, Martinez Cara J, Martin Rodriguez M, Castilla Castellano M . [Intestinal tuberculosis. A diagnostic challenge]. Gastroenterol Hepatol. 2003; 26(6):351-4. DOI: 10.1016/s0210-5705(03)70372-0. View

Wiener R, Della-Latta P, Schluger N . Effect of nucleic acid amplification for Mycobacterium tuberculosis on clinical decision making in suspected extrapulmonary tuberculosis. Chest. 2005; 128(1):102-7. DOI: 10.1378/chest.128.1.102. View

Bernhard J, Bhatia G, Knauer C . Gastrointestinal tuberculosis: an eighteen-patient experience and review. J Clin Gastroenterol. 2000; 30(4):397-402. DOI: 10.1097/00004836-200006000-00009. View

Donoghue H, Holton J . Intestinal tuberculosis. Curr Opin Infect Dis. 2009; 22(5):490-6. DOI: 10.1097/QCO.0b013e3283306712. View

Horvath K, Whelan R . Intestinal tuberculosis: return of an old disease. Am J Gastroenterol. 1998; 93(5):692-6. DOI: 10.1111/j.1572-0241.1998.207_a.x. View

10.

Shah S, Thomas V, Mathan M, Chacko A, Chandy G, Ramakrishna B . Colonoscopic study of 50 patients with colonic tuberculosis. Gut. 1992; 33(3):347-51. PMC: 1373825. DOI: 10.1136/gut.33.3.347. View

11.

Mukewar S, Mukewar S, Ravi R, Prasad A, Dua K . Colon tuberculosis: endoscopic features and prospective endoscopic follow-up after anti-tuberculosis treatment. Clin Transl Gastroenterol. 2012; 3:e24. PMC: 3491534. DOI: 10.1038/ctg.2012.19. View

12.

Giouleme O, Paschos P, Katsaros M, Papalexi F, Karabatsou S, Masmanidou M . Intestinal tuberculosis: a diagnostic challenge--case report and review of the literature. Eur J Gastroenterol Hepatol. 2011; 23(11):1074-7. DOI: 10.1097/MEG.0b013e32834a9470. View

13.

Anand B, Schneider F, Shawar R, Clarridge J, Graham D . Diagnosis of intestinal tuberculosis by polymerase chain reaction on endoscopic biopsy specimens. Am J Gastroenterol. 1994; 89(12):2248-9. View

14.

Alvares J, Devarbhavi H, Makhija P, Rao S, Kottoor R . Clinical, colonoscopic, and histological profile of colonic tuberculosis in a tertiary hospital. Endoscopy. 2005; 37(4):351-6. DOI: 10.1055/s-2005-861116. View

15.

Balamurugan R, Venkataraman S, John K, Ramakrishna B . PCR amplification of the IS6110 insertion element of Mycobacterium tuberculosis in fecal samples from patients with intestinal tuberculosis. J Clin Microbiol. 2006; 44(5):1884-6. PMC: 1479206. DOI: 10.1128/JCM.44.5.1884-1886.2006. View

16.

Singh V, Kumar P, Kamal J, Prakash V, Vaiphei K, Singh K . Clinicocolonoscopic profile of colonic tuberculosis. Am J Gastroenterol. 1996; 91(3):565-8. View

17.

Kasai H, Ezaki T, Harayama S . Differentiation of phylogenetically related slowly growing mycobacteria by their gyrB sequences. J Clin Microbiol. 2000; 38(1):301-8. PMC: 88713. DOI: 10.1128/JCM.38.1.301-308.2000. View

18.

Kirsch R, Pentecost M, Hall P, Epstein D, Watermeyer G, Friederich P . Role of colonoscopic biopsy in distinguishing between Crohn's disease and intestinal tuberculosis. J Clin Pathol. 2006; 59(8):840-4. PMC: 1860439. DOI: 10.1136/jcp.2005.032383. View

19.

Mehta P, Raj A, Singh N, Khuller G . Diagnosis of extrapulmonary tuberculosis by PCR. FEMS Immunol Med Microbiol. 2012; 66(1):20-36. DOI: 10.1111/j.1574-695X.2012.00987.x. View

20.

Snider Jr D, Roper W . The new tuberculosis. N Engl J Med. 1992; 326(10):703-5. DOI: 10.1056/NEJM199203053261011. View