Penetrating gastric ulcer as a manifestation of multisystemic tuberculosis

Autores/as

  • Jorge Espinoza-Ríos Hospital Cayetano Heredia. Lima, Peru. Resident in Gastroenterology
  • Eduar Bravo Paredes Hospital Cayetano Heredia. Lima, Peru. Gastroenterologist School of Medicine, Universidad Peruana Cayetano Heredia. Lima, Peru. Professor
  • José Pinto Valdivia Hospital Cayetano Heredia. Lima, Peru. Gastroenterologist School of Medicine, Universidad Peruana Cayetano Heredia. Lima, Peru. Professor
  • Julissa Guevara Hospital Cayetano Heredia. Lima, Peru. Gastroenterologist School of Medicine, Universidad Peruana Cayetano Heredia. Lima, Peru. Professor
  • Jorge Huerta-Mercado School of Medicine, Universidad Peruana Cayetano Heredia. Lima, Peru. Professor Clínica Angloamericana. Lima, Peru. Gastroenterologist
  • Martín Tagle Arróspide School of Medicine, Universidad Peruana Cayetano Heredia. Lima, Peru. Professor Clínica Angloamericana. Lima, Peru. Gastroenterologist
  • Alejandro Bussalleu Rivera School of Medicine, Universidad Peruana Cayetano Heredia. Lima, Peru. Professor Clínica Médica Cayetano Heredia. Lima, Peru. Gastroenterologist

DOI:

https://doi.org/10.47892/rgp.2017.371.86

Palabras clave:

Tuberculosis, gastrointestinal, Stomach ulcer, HIV

Resumen

We present the case of a 30-year old female with a history of abdominal pain, fever, poor oral tolerance and weight loss for 6 months. An abdominal CT scan showed marked gastric dilatation due to extrinsic compression from lymphadenopathies around the second portion of the duodenum. The upper endoscopy revealed the presence of a penetrating gastric ulcer in the greater curvature. Biopsies of the lesions showed hystiocytes with granulomatous features and Acid Fast Bacilli (AFB) positive, and the cultures grew Mycobacterium tuberculosis sensitive to Isonazid and Rifampin. Subsequently anti-TB regimen was initiated achieving great clinical and endoscopic improvement.

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Publicado

09.06.2017

Cómo citar

1.
Espinoza-Ríos J, Bravo Paredes E, Pinto Valdivia J, Guevara J, Huerta-Mercado J, Tagle Arróspide M, Bussalleu Rivera A. Penetrating gastric ulcer as a manifestation of multisystemic tuberculosis. Rev Gastroenterol Peru [nternet]. 9 de junio de 2017 [citado 26 de mayo de 2024];37(1):91-3. isponible en: https://revistagastroperu.com/index.php/rgp/article/view/86

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