Intestinal Tuberculosis: A Rare Case of Massive Gastrointestinal Bleed in a Post-Renal Transplant Recipient

Massive rectal bleeding is an uncommon presentation of ileal tuberculosis (TB). We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the (99)technetium labeled red blood ce...

Descripción completa

Detalles Bibliográficos
Autores principales: Pattanashetti, N., Gupta, S., Rana, S., Dahiya, D., Das, A., Kumar, V., Rathi, M., Kohli, H. S., Gupta, K. L., Ramachandran, R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440334/
https://www.ncbi.nlm.nih.gov/pubmed/30983756
http://dx.doi.org/10.4103/ijn.IJN_360_17
_version_ 1783407367278297088
author Pattanashetti, N.
Gupta, S.
Rana, S.
Dahiya, D.
Das, A.
Kumar, V.
Rathi, M.
Kohli, H. S.
Gupta, K. L.
Ramachandran, R.
author_facet Pattanashetti, N.
Gupta, S.
Rana, S.
Dahiya, D.
Das, A.
Kumar, V.
Rathi, M.
Kohli, H. S.
Gupta, K. L.
Ramachandran, R.
author_sort Pattanashetti, N.
collection PubMed
description Massive rectal bleeding is an uncommon presentation of ileal tuberculosis (TB). We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the (99)technetium labeled red blood cell scan showed active bleeding from terminal ileum and caecum. Microscopic examination of the resected specimen revealed tubercular granuloma with acid-fast bacilli. Intestinal TB should be a differential diagnosis for massive LGI bleed in immunosuppressed patients in developing country.
format Online
Article
Text
id pubmed-6440334
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-64403342019-04-12 Intestinal Tuberculosis: A Rare Case of Massive Gastrointestinal Bleed in a Post-Renal Transplant Recipient Pattanashetti, N. Gupta, S. Rana, S. Dahiya, D. Das, A. Kumar, V. Rathi, M. Kohli, H. S. Gupta, K. L. Ramachandran, R. Indian J Nephrol Case Report Massive rectal bleeding is an uncommon presentation of ileal tuberculosis (TB). We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the (99)technetium labeled red blood cell scan showed active bleeding from terminal ileum and caecum. Microscopic examination of the resected specimen revealed tubercular granuloma with acid-fast bacilli. Intestinal TB should be a differential diagnosis for massive LGI bleed in immunosuppressed patients in developing country. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6440334/ /pubmed/30983756 http://dx.doi.org/10.4103/ijn.IJN_360_17 Text en Copyright: © 2019 Indian Journal of Nephrology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Pattanashetti, N.
Gupta, S.
Rana, S.
Dahiya, D.
Das, A.
Kumar, V.
Rathi, M.
Kohli, H. S.
Gupta, K. L.
Ramachandran, R.
Intestinal Tuberculosis: A Rare Case of Massive Gastrointestinal Bleed in a Post-Renal Transplant Recipient
title Intestinal Tuberculosis: A Rare Case of Massive Gastrointestinal Bleed in a Post-Renal Transplant Recipient
title_full Intestinal Tuberculosis: A Rare Case of Massive Gastrointestinal Bleed in a Post-Renal Transplant Recipient
title_fullStr Intestinal Tuberculosis: A Rare Case of Massive Gastrointestinal Bleed in a Post-Renal Transplant Recipient
title_full_unstemmed Intestinal Tuberculosis: A Rare Case of Massive Gastrointestinal Bleed in a Post-Renal Transplant Recipient
title_short Intestinal Tuberculosis: A Rare Case of Massive Gastrointestinal Bleed in a Post-Renal Transplant Recipient
title_sort intestinal tuberculosis: a rare case of massive gastrointestinal bleed in a post-renal transplant recipient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440334/
https://www.ncbi.nlm.nih.gov/pubmed/30983756
http://dx.doi.org/10.4103/ijn.IJN_360_17
work_keys_str_mv AT pattanashettin intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT guptas intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT ranas intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT dahiyad intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT dasa intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT kumarv intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT rathim intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT kohlihs intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT guptakl intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT ramachandranr intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient

Ejemplares similares