Chakinala Raja Chandra, Farkas Zahava C, Barbash Benjamin, Haq Khwaja F, Solanki Shantanu, Khan Muhammad Ali, Esses Edward, Farooq Taliya, Dworkin Brad
Medicine, New York Medical College, Westchester Medical Center, Valhalla, NY, USA.
Division of Gastroenterology and Hepatobiliary Diseases, New York Medical College, Westchester Medical Center, Valhalla, NY, USA.
Case Rep Gastrointest Med. 2018 Feb 27;2018:2808565. doi: 10.1155/2018/2808565. eCollection 2018.
Gastrointestinal (GI) tuberculosis (TB) is rare and can occur in the context of active pulmonary disease or as a primary infection with no pulmonary symptoms. It typically presents with vague abdominal symptoms, making it difficult to discern from alternative disease processes. Although the ileocecal region is the most commonly affected site, tuberculous enteritis can involve any aspect of the GI tract. To demonstrate the importance of maintaining a high clinical suspicion for the disease, we present a case of GI TB presenting as severe malnutrition and segmental colitis of the left colon.
胃肠道结核较为罕见，可在活动性肺部疾病的情况下发生，也可作为无肺部症状的原发性感染出现。它通常表现为模糊的腹部症状，难以与其他疾病过程相鉴别。虽然回盲部是最常受累的部位，但结核性肠炎可累及胃肠道的任何部位。为了说明对该病保持高度临床怀疑的重要性，我们报告一例以严重营养不良和左半结肠节段性结肠炎为表现的胃肠道结核病例。
