Primary Gastric Tuberculosis in an Immunocompetent Patient
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/158426 |
Resumo: | Gastrointestinal tuberculosis is an uncommon entity, in which clinical presentation can be widely variable, from mild and nonspecific symptoms to an acute abdomen and gastrointestinal bleeding. Gastric involvement by Mycobacterium tuberculosis is rare, especially when it occurs without other recognized infectious foci - primary gastric tuberculosis - with only a few reported cases. Endoscopic findings can be very heterogeneous, from areas of hyperemia to pseudotumor lesions. We present a case of primary gastric tuberculosis in an immunocompetent patient, in which the absence of an epidemiological context and nonspecific endoscopic findings led to a delay in the diagnosis. Bite-on-bite biopsies proved to be essential, allowing to obtain samples from deeper layers of the submucosa where M. tuberculosis was identified. This case aimed to increase awareness for this entity, especially in endemic countries or regions with a high prevalence of tuberculosis since the diagnosis is based mainly on a high index of suspicion. |
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Primary Gastric Tuberculosis in an Immunocompetent PatientThe Truth Lying beneath the SurfaceBite-on-bite biopsiesGastric tuberculosisMycobacteriumtuberculosisGastroenterologySDG 3 - Good Health and Well-beingGastrointestinal tuberculosis is an uncommon entity, in which clinical presentation can be widely variable, from mild and nonspecific symptoms to an acute abdomen and gastrointestinal bleeding. Gastric involvement by Mycobacterium tuberculosis is rare, especially when it occurs without other recognized infectious foci - primary gastric tuberculosis - with only a few reported cases. Endoscopic findings can be very heterogeneous, from areas of hyperemia to pseudotumor lesions. We present a case of primary gastric tuberculosis in an immunocompetent patient, in which the absence of an epidemiological context and nonspecific endoscopic findings led to a delay in the diagnosis. Bite-on-bite biopsies proved to be essential, allowing to obtain samples from deeper layers of the submucosa where M. tuberculosis was identified. This case aimed to increase awareness for this entity, especially in endemic countries or regions with a high prevalence of tuberculosis since the diagnosis is based mainly on a high index of suspicion.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNCorreia, Fábio PereiraMartins Figueiredo, LuísaLourenço, Luís CarvalhoSantos, SofiaTheias Manso, RitaHorta, David2023-09-28T22:19:40Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/158426eng2341-4545PURE: 71100627https://doi.org/10.1159/000531380info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:40:48Zoai:run.unl.pt:10362/158426Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:57:07.892378Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Primary Gastric Tuberculosis in an Immunocompetent Patient The Truth Lying beneath the Surface |
title |
Primary Gastric Tuberculosis in an Immunocompetent Patient |
spellingShingle |
Primary Gastric Tuberculosis in an Immunocompetent Patient Correia, Fábio Pereira Bite-on-bite biopsies Gastric tuberculosis Mycobacteriumtuberculosis Gastroenterology SDG 3 - Good Health and Well-being |
title_short |
Primary Gastric Tuberculosis in an Immunocompetent Patient |
title_full |
Primary Gastric Tuberculosis in an Immunocompetent Patient |
title_fullStr |
Primary Gastric Tuberculosis in an Immunocompetent Patient |
title_full_unstemmed |
Primary Gastric Tuberculosis in an Immunocompetent Patient |
title_sort |
Primary Gastric Tuberculosis in an Immunocompetent Patient |
author |
Correia, Fábio Pereira |
author_facet |
Correia, Fábio Pereira Martins Figueiredo, Luísa Lourenço, Luís Carvalho Santos, Sofia Theias Manso, Rita Horta, David |
author_role |
author |
author2 |
Martins Figueiredo, Luísa Lourenço, Luís Carvalho Santos, Sofia Theias Manso, Rita Horta, David |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Correia, Fábio Pereira Martins Figueiredo, Luísa Lourenço, Luís Carvalho Santos, Sofia Theias Manso, Rita Horta, David |
dc.subject.por.fl_str_mv |
Bite-on-bite biopsies Gastric tuberculosis Mycobacteriumtuberculosis Gastroenterology SDG 3 - Good Health and Well-being |
topic |
Bite-on-bite biopsies Gastric tuberculosis Mycobacteriumtuberculosis Gastroenterology SDG 3 - Good Health and Well-being |
description |
Gastrointestinal tuberculosis is an uncommon entity, in which clinical presentation can be widely variable, from mild and nonspecific symptoms to an acute abdomen and gastrointestinal bleeding. Gastric involvement by Mycobacterium tuberculosis is rare, especially when it occurs without other recognized infectious foci - primary gastric tuberculosis - with only a few reported cases. Endoscopic findings can be very heterogeneous, from areas of hyperemia to pseudotumor lesions. We present a case of primary gastric tuberculosis in an immunocompetent patient, in which the absence of an epidemiological context and nonspecific endoscopic findings led to a delay in the diagnosis. Bite-on-bite biopsies proved to be essential, allowing to obtain samples from deeper layers of the submucosa where M. tuberculosis was identified. This case aimed to increase awareness for this entity, especially in endemic countries or regions with a high prevalence of tuberculosis since the diagnosis is based mainly on a high index of suspicion. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-28T22:19:40Z 2023 2023-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/158426 |
url |
http://hdl.handle.net/10362/158426 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2341-4545 PURE: 71100627 https://doi.org/10.1159/000531380 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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