Publicação
Primary Gastric Tuberculosis in an Immunocompetent Patient
| Resumo: | Gastrointestinal tuberculosis is an uncommon entity, in which clinical presentation can be widely variable, from mild and nonspecific symptoms to an acute abdomen and gastrointestinal bleeding. Gastric involvement by Mycobacterium tuberculosis is rare, especially when it occurs without other recognized infectious foci - primary gastric tuberculosis - with only a few reported cases. Endoscopic findings can be very heterogeneous, from areas of hyperemia to pseudotumor lesions. We present a case of primary gastric tuberculosis in an immunocompetent patient, in which the absence of an epidemiological context and nonspecific endoscopic findings led to a delay in the diagnosis. Bite-on-bite biopsies proved to be essential, allowing to obtain samples from deeper layers of the submucosa where M. tuberculosis was identified. This case aimed to increase awareness for this entity, especially in endemic countries or regions with a high prevalence of tuberculosis since the diagnosis is based mainly on a high index of suspicion. |
|---|---|
| Autores principais: | Correia, Fábio Pereira |
| Outros Autores: | Martins Figueiredo, Luísa; Lourenço, Luís Carvalho; Santos, Sofia; Theias Manso, Rita; Horta, David |
| Assunto: | Bite-on-bite biopsies Gastric tuberculosis Mycobacteriumtuberculosis Gastroenterology SDG 3 - Good Health and Well-being |
| Ano: | 2023 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade Nova de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório Institucional da UNL |
| _version_ | 1868983918381760512 |
|---|---|
| author | Correia, Fábio Pereira |
| author2 | Martins Figueiredo, Luísa Lourenço, Luís Carvalho Santos, Sofia Theias Manso, Rita Horta, David |
| author2_role | author author author author author |
| author_facet | Correia, Fábio Pereira Martins Figueiredo, Luísa Lourenço, Luís Carvalho Santos, Sofia Theias Manso, Rita Horta, David |
| author_role | author |
| contributor_name_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Karger RUN |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Correia, Fábio Pereira\"},{\"Person.name\":\"Martins Figueiredo, Luísa\"},{\"Person.name\":\"Lourenço, Luís Carvalho\"},{\"Person.name\":\"Santos, Sofia\"},{\"Person.name\":\"Theias Manso, Rita\"},{\"Person.name\":\"Horta, David\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Karger RUN |
| datacite.creators.creator.creatorName.fl_str_mv | Correia, Fábio Pereira Martins Figueiredo, Luísa Lourenço, Luís Carvalho Santos, Sofia Theias Manso, Rita Horta, David |
| datacite.date.Accepted.fl_str_mv | 2023-07-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2023-09-28T22:19:40Z |
| datacite.date.embargoed.fl_str_mv | 2023-09-28T22:19:40Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Bite-on-bite biopsies Gastric tuberculosis Mycobacteriumtuberculosis Gastroenterology SDG 3 - Good Health and Well-being |
| datacite.titles.title.fl_str_mv | Primary Gastric Tuberculosis in an Immunocompetent Patient The Truth Lying beneath the Surface |
| dc.contributor.none.fl_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Karger RUN |
| dc.creator.none.fl_str_mv | Correia, Fábio Pereira Martins Figueiredo, Luísa Lourenço, Luís Carvalho Santos, Sofia Theias Manso, Rita Horta, David |
| dc.date.Accepted.fl_str_mv | 2023-07-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2023-09-28T22:19:40Z |
| dc.date.embargoed.fl_str_mv | 2023-09-28T22:19:40Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10362/158426 |
| dc.language.none.fl_str_mv | eng |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Bite-on-bite biopsies Gastric tuberculosis Mycobacteriumtuberculosis Gastroenterology SDG 3 - Good Health and Well-being |
| dc.title.fl_str_mv | Primary Gastric Tuberculosis in an Immunocompetent Patient The Truth Lying beneath the Surface |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Gastrointestinal tuberculosis is an uncommon entity, in which clinical presentation can be widely variable, from mild and nonspecific symptoms to an acute abdomen and gastrointestinal bleeding. Gastric involvement by Mycobacterium tuberculosis is rare, especially when it occurs without other recognized infectious foci - primary gastric tuberculosis - with only a few reported cases. Endoscopic findings can be very heterogeneous, from areas of hyperemia to pseudotumor lesions. We present a case of primary gastric tuberculosis in an immunocompetent patient, in which the absence of an epidemiological context and nonspecific endoscopic findings led to a delay in the diagnosis. Bite-on-bite biopsies proved to be essential, allowing to obtain samples from deeper layers of the submucosa where M. tuberculosis was identified. This case aimed to increase awareness for this entity, especially in endemic countries or regions with a high prevalence of tuberculosis since the diagnosis is based mainly on a high index of suspicion. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://run.unl.pt/bitstreams/f404af26-60bb-4717-9807-6b3c202613b3/download |
| id | run_d925401cd32ef8b9e9ff77c4ebca2e37 |
| identifier.url.fl_str_mv | http://hdl.handle.net/10362/158426 |
| inst_facet_str | urn:organizationAcronym:unl{{{_:::_}}}Universidade Nova de Lisboa |
| instacron_str | unl |
| institution | Universidade Nova de Lisboa |
| instname_str | Universidade Nova de Lisboa |
| language | eng |
| network_acronym_str | run |
| network_name_str | Repositório Institucional da UNL |
| oai_identifier_str | oai:run.unl.pt:10362/158426 |
| organization_str_mv | urn:organizationAcronym:unl |
| person_str_mv | Correia, Fábio Pereira Martins Figueiredo, Luísa Lourenço, Luís Carvalho Santos, Sofia Theias Manso, Rita Horta, David |
| publishDate | 2023 |
| repo_facet_str | urn:repositoryAcronym:run{{{_:::_}}}Repositório Institucional da UNL |
| reponame_str | Repositório Institucional da UNL |
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| spelling | engenGastrointestinal tuberculosis is an uncommon entity, in which clinical presentation can be widely variable, from mild and nonspecific symptoms to an acute abdomen and gastrointestinal bleeding. Gastric involvement by Mycobacterium tuberculosis is rare, especially when it occurs without other recognized infectious foci - primary gastric tuberculosis - with only a few reported cases. Endoscopic findings can be very heterogeneous, from areas of hyperemia to pseudotumor lesions. We present a case of primary gastric tuberculosis in an immunocompetent patient, in which the absence of an epidemiological context and nonspecific endoscopic findings led to a delay in the diagnosis. Bite-on-bite biopsies proved to be essential, allowing to obtain samples from deeper layers of the submucosa where M. tuberculosis was identified. This case aimed to increase awareness for this entity, especially in endemic countries or regions with a high prevalence of tuberculosis since the diagnosis is based mainly on a high index of suspicion.application/pdfenPrimary Gastric Tuberculosis in an Immunocompetent PatientSubtitleenThe Truth Lying beneath the SurfaceCorreia, Fábio PereiraMartins Figueiredo, LuísaLourenço, Luís CarvalhoSantos, SofiaTheias Manso, RitaHorta, DavidNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)KargerHostingInstitutionOrganizationalRUNe-mailmailto:run@unl.ptrun@unl.ptISSNIsPartOf2341-4545URNIsPartOfPURE: 71100627URNIsPartOfPURE UUID: 10a760a3-b8ba-4bcc-8b1e-2a386a12bf47URNIsPartOfScopus: 85168703084URNIsPartOfPubMed: 38836125DOIIsPartOf10.1159/0005313802023-09-28T22:19:40Z2023-072023-07-01T00:00:00ZHandlehttp://hdl.handle.net/10362/158426http://purl.org/coar/access_right/c_abf2open accessBite-on-bite biopsiesGastric tuberculosisMycobacteriumtuberculosisGastroenterologySDG 3 - Good Health and Well-being700910 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://run.unl.pt/bitstreams/f404af26-60bb-4717-9807-6b3c202613b3/download |
| spellingShingle | Primary Gastric Tuberculosis in an Immunocompetent Patient Correia, Fábio Pereira Bite-on-bite biopsies Gastric tuberculosis Mycobacteriumtuberculosis Gastroenterology SDG 3 - Good Health and Well-being |
| status | SINGLETON |
| subject.fl_str_mv | Bite-on-bite biopsies Gastric tuberculosis Mycobacteriumtuberculosis Gastroenterology SDG 3 - Good Health and Well-being |
| title | Primary Gastric Tuberculosis in an Immunocompetent Patient |
| title_full | Primary Gastric Tuberculosis in an Immunocompetent Patient |
| title_fullStr | Primary Gastric Tuberculosis in an Immunocompetent Patient |
| title_full_unstemmed | Primary Gastric Tuberculosis in an Immunocompetent Patient |
| title_short | Primary Gastric Tuberculosis in an Immunocompetent Patient |
| title_sort | Primary Gastric Tuberculosis in an Immunocompetent Patient |
| topic | Bite-on-bite biopsies Gastric tuberculosis Mycobacteriumtuberculosis Gastroenterology SDG 3 - Good Health and Well-being |
| topic_facet | Bite-on-bite biopsies Gastric tuberculosis Mycobacteriumtuberculosis Gastroenterology SDG 3 - Good Health and Well-being |
| url | http://hdl.handle.net/10362/158426 |
| visible | 1 |