Masquerading Mycobacterium: Rectal Growth or Tuberculosis?

N. Choudhury, Sumitra Hagjer
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引用次数: 4

Abstract

ABSTRACT: A 37-year old male presented to us with history of lower abdominal pain for 6 months. His physical examination revealed a rectal mass of approximately 1centimeter. He was investigated for possible rectal growth with sigmoidoscopy and biopsy. The histopathological examination (HPE) showed a non-specific chronic inflammation in the tissue from the mass. Another tissue from the mass was sent for polymerase chain reaction (PCR) for tuberculosis, which turned out to be positive. The patient was started on standard anti tubercular (ATT) regimen and responded completely to the treatment. We discuss the patient and review some of the available literature on the topic and discuss the issue of considering a diagnosis of tuberculosis in cases with rectal mass specially when it has become a major public health issue with increasing number of HIV (Human Immunodeficiency Virus) infected patients. Keywords : Rectal TB; Tuberculosis; Rectal Growth Internet Journal of Medical Update . 2013 January;8(1):42-44
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伪装分枝杆菌:直肠生长还是结核?
摘要:一名37岁男性患者以6个月的下腹痛病史就诊。体格检查发现直肠肿块约1厘米。通过乙状结肠镜检查和活检检查他是否有直肠生长。组织病理学检查(HPE)显示肿块组织中有非特异性慢性炎症。从肿块中取出的另一个组织被送去做肺结核聚合酶链反应(PCR),结果呈阳性。患者开始标准抗结核(ATT)方案,并完全响应治疗。我们讨论了病人,回顾了一些关于该主题的现有文献,并讨论了在直肠肿块病例中考虑结核病诊断的问题,特别是当它已经成为一个主要的公共卫生问题,随着艾滋病毒(人类免疫缺陷病毒)感染患者的数量增加。关键词:直肠结核;肺结核;直肠生长因特网医学更新杂志。2013年1月,8 (1):42-44
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