华法林治疗患者中出现胃肠道出血的肠结核
Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin Therapy.
作者信息
Kuka Werimo Pascal, Rakiro Joe, Gatheru Joseph, Riunga Felix, Rajula Allan
机构信息
Aga Khan University Hospital Nairobi, 4th Floor East Tower Block, Third Avenue Parklands, P.O. Box 30270, Nairobi 00100, GPO, Kenya.
出版信息
Case Rep Gastrointest Med. 2022 May 14;2022:9277789. doi: 10.1155/2022/9277789. eCollection 2022.
BACKGROUND
Intestinal tuberculosis (ITB) constitutes less than 5% of overall cases of extrapulmonary disease and mostly affects the ileocecal region. The presentation and radiologic findings in enteric tuberculosis can mimic Crohn's disease (CD). . We present a case report of an African woman who presented to a Kenyan hospital with lower gastrointestinal bleeding while on anticoagulation for valvular atrial fibrillation, and was diagnosed with intestinal tuberculosis after colonoscopy, biopsy, and positive staining for tuberculous bacilli.
CONCLUSION
Intestinal tuberculosis causing gastrointestinal bleeding is rare but should be suspected in patients living in TB endemic regions.
背景
肠结核（ITB）占肺外疾病总病例的比例不到5%，主要累及回盲部。肠结核的临床表现和影像学表现可类似于克罗恩病（CD）。我们报告一例非洲女性病例，该患者因瓣膜性心房颤动接受抗凝治疗期间出现下消化道出血，就诊于肯尼亚一家医院，经结肠镜检查、活检及结核杆菌染色阳性后被诊断为肠结核。
结论
引起胃肠道出血的肠结核较为罕见，但生活在结核病流行地区的患者应怀疑此病。
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