Primary gastric fundus tuberculosis in immunocompetent patient: a case report and literature review

AUTOR(ES)

Khan, Fahmi Yousef, AlAni, Ahmed, Al-Rikabi, Ammar, Mizrakhshi, A., Osman, Mohamed El-Mudathir

FONTE

Brazilian Journal of Infectious Diseases

DATA DE PUBLICAÇÃO

2008-10

RESUMO

We report on a 29-year-old Pakistani man who presented to the clinic with epigastric pain, of one-month duration. He did not report fever, cough, vomiting blood, passing black stools, loss of appetite or diarrhea. However, he had lost 7 kg since his symptoms had begun. Clinical examination was unremarkable. Laboratory results were within normal limits. An abdominal CT scan showed a mass with enhancement in the stomach. Gastric endoscopy revealed an ulcerative mass in the fundus. An endoscopic-biopsy specimen revealed caseating granulomas with acid-fast bacilli. The patient was diagnosed to have primary gastric tuberculosis, and antituberculous medications were initiated. Cultures of the gastric mass subsequently grew Mycobacterium tuberculosis sensitive to isoniazid and rifampcin. Follow-up after six months showed a good response to treatment; an upper gastrointestinal tract endoscopy after six months was normal.

Documentos Relacionados

• Primary penile Kaposi’s sarcoma in HIV-seronegative patient: a case report and literature review
• Management of a parotid sialocelein a young patient: case report and literature review
• Cutaneous sarcoidosis and secondary open-angle glaucoma in a patient: case report and literature review
• Spontaneous perforation of pyometra in a cervical cancer patient: a case report and literature review
• Cerebral infarction related to cryptococcal meningitis in an HIV-infected patient: case report and literature review