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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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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