Abdominal tuberculosis in Ecuador, a problem that is still not solved

Background: Tuberculosis (TB) in the gastrointestinal tract or peritoneum is an uncommon condition in clinical practice. Its rarity, combined with its nonspecific presentations, makes this kind of extrapulmonary tuberculosis difficult to diagnose as it can mimic other inflammatory or malignant condi...

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Main Authors: Christian L. Rojas, Evelyn Carolina Polanco, Maria Cecilia Vivar, William G. Aguayo, Gabriel A. Molina, Bernardo M. Gutierrez, Maria M. Cobo
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240557942030036X
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spelling doaj-81a0e9dda22b49f490bd63e0ef6af0932020-11-25T03:26:08ZengElsevierJournal of Clinical Tuberculosis and Other Mycobacterial Diseases2405-57942020-08-0120100172Abdominal tuberculosis in Ecuador, a problem that is still not solvedChristian L. Rojas0Evelyn Carolina Polanco1Maria Cecilia Vivar2William G. Aguayo3Gabriel A. Molina4Bernardo M. Gutierrez5Maria M. Cobo6Grupo Digeslap Center, Quito, EcuadorDepartment of Pathology, Hospital General San Francisco de Quito, Quito, EcuadorDepartment of Pathology, Hospital General San Francisco de Quito, Quito, EcuadorGrupo Digeslap Center, Quito, EcuadorGrupo Digeslap Center & Universidad Internacional del Ecuador; Corresponding author.Universidad San Francisco de Quito, USFQ, College of Biological and Environmental Sciences, Quito, EcuadorUniversidad San Francisco de Quito, USFQ, College of Biological and Environmental Sciences, Quito, EcuadorBackground: Tuberculosis (TB) in the gastrointestinal tract or peritoneum is an uncommon condition in clinical practice. Its rarity, combined with its nonspecific presentations, makes this kind of extrapulmonary tuberculosis difficult to diagnose as it can mimic other inflammatory or malignant conditions. Delays in treatment and frequent misdiagnosis can lead to hazardous complications. In countries like Ecuador where the disease is endemic, TB should always be considered in the differential diagnosis of a patients who present with nonspecific abdominal symptoms. In these scenarios, laparoscopy can be an invaluable tool when used with sufficiently high clinical awareness and adequate training. Case presentation: We present the case of a 37-year-old female patient from Ecuador with a 1-year history of abdominal pain, nausea, intermittent vomits, night sweats, and weight loss. After clinical evaluation and a laparoscopic intervention, abdominal TB was detected and promptly treated. Antituberculosis chemotherapy was initiated, and the patient successfully recovered. Conclusions: High clinical awareness is imperative when approaching abdominal TB due to its wide spectrum of clinical symptoms and its rarity. Early detection and prompt treatment are critical to minimize the possibility of hazardous complications.http://www.sciencedirect.com/science/article/pii/S240557942030036XLaparoscopyTuberculosisIntestinal TB
collection DOAJ
language English
format Article
sources DOAJ
author Christian L. Rojas
Evelyn Carolina Polanco
Maria Cecilia Vivar
William G. Aguayo
Gabriel A. Molina
Bernardo M. Gutierrez
Maria M. Cobo
spellingShingle Christian L. Rojas
Evelyn Carolina Polanco
Maria Cecilia Vivar
William G. Aguayo
Gabriel A. Molina
Bernardo M. Gutierrez
Maria M. Cobo
Abdominal tuberculosis in Ecuador, a problem that is still not solved
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
Laparoscopy
Tuberculosis
Intestinal TB
author_facet Christian L. Rojas
Evelyn Carolina Polanco
Maria Cecilia Vivar
William G. Aguayo
Gabriel A. Molina
Bernardo M. Gutierrez
Maria M. Cobo
author_sort Christian L. Rojas
title Abdominal tuberculosis in Ecuador, a problem that is still not solved
title_short Abdominal tuberculosis in Ecuador, a problem that is still not solved
title_full Abdominal tuberculosis in Ecuador, a problem that is still not solved
title_fullStr Abdominal tuberculosis in Ecuador, a problem that is still not solved
title_full_unstemmed Abdominal tuberculosis in Ecuador, a problem that is still not solved
title_sort abdominal tuberculosis in ecuador, a problem that is still not solved
publisher Elsevier
series Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
issn 2405-5794
publishDate 2020-08-01
description Background: Tuberculosis (TB) in the gastrointestinal tract or peritoneum is an uncommon condition in clinical practice. Its rarity, combined with its nonspecific presentations, makes this kind of extrapulmonary tuberculosis difficult to diagnose as it can mimic other inflammatory or malignant conditions. Delays in treatment and frequent misdiagnosis can lead to hazardous complications. In countries like Ecuador where the disease is endemic, TB should always be considered in the differential diagnosis of a patients who present with nonspecific abdominal symptoms. In these scenarios, laparoscopy can be an invaluable tool when used with sufficiently high clinical awareness and adequate training. Case presentation: We present the case of a 37-year-old female patient from Ecuador with a 1-year history of abdominal pain, nausea, intermittent vomits, night sweats, and weight loss. After clinical evaluation and a laparoscopic intervention, abdominal TB was detected and promptly treated. Antituberculosis chemotherapy was initiated, and the patient successfully recovered. Conclusions: High clinical awareness is imperative when approaching abdominal TB due to its wide spectrum of clinical symptoms and its rarity. Early detection and prompt treatment are critical to minimize the possibility of hazardous complications.
topic Laparoscopy
Tuberculosis
Intestinal TB
url http://www.sciencedirect.com/science/article/pii/S240557942030036X
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