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Asymptomatic gastric tuberculosis in the gastric body mimicking an isolated microscopic erosion: A rare case report

INTRODUCTION: Gastric tuberculosis is rarely seen in clinical practice, which occurs mostly secondary to lung tuberculosis, intestinal tuberculosis, and other common tuberculosis. Gastric tuberculosis rarely presents as a single microscopic superficial erosion. We recently diagnosed such a case, hen...

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Autores principales: Zhang, Wenguang, Song, Fusheng, Zhang, Zhimei, Yang, Jun, Zhao, Linlin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8878609/
https://www.ncbi.nlm.nih.gov/pubmed/35212291
http://dx.doi.org/10.1097/MD.0000000000028888
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author Zhang, Wenguang
Song, Fusheng
Zhang, Zhimei
Yang, Jun
Zhao, Linlin
author_facet Zhang, Wenguang
Song, Fusheng
Zhang, Zhimei
Yang, Jun
Zhao, Linlin
author_sort Zhang, Wenguang
collection PubMed
description INTRODUCTION: Gastric tuberculosis is rarely seen in clinical practice, which occurs mostly secondary to lung tuberculosis, intestinal tuberculosis, and other common tuberculosis. Gastric tuberculosis rarely presents as a single microscopic superficial erosion. We recently diagnosed such a case, hence reporting it herein. PATIENT CONCERNS: A 40-year-old female patient was admitted with a chief complaint of painful enlarged cervical lymph nodes. She had no other symptoms or any previous history of remarkable diseases. DIAGNOSIS: Physical examination found multiple enlarged cervical lymph nodes. Computer tomography revealed multiple circular well-defined soft tissue masses in the bilateral carotid sheath spaces. A cervical lymph node biopsy showed caseous necrosis with infiltration of neutrophils and lymphocytes, and most importantly, mycobacteria through staining for acid fast bacilli. Routine gastroscopy showed a 0.5 cm × 0.5 cm well-defined erosion on the large curvature of the gastric body. Gastric biopsy revealed chronic granulomatous inflammation with mycobacteria through staining for acid fast bacilli. The patient was diagnosed as having cervical lymph node tuberculosis and gastric tuberculosis. INTERVENTIONS AND OUTCOMES: She received 6 months of standard anti-tuberculosis therapy. The enlarged cervical lymph nodes shrank in size and the pain was relieved. CONCLUSIONS: Gastroscopy should be performed to look for gastric tuberculosis if the patient presents primary tuberculosis in other organs/tissues such as cervical lymph nodes. If any small erosion is found, a biopsy is justified for checking the possibility of gastric tuberculosis.
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spelling pubmed-88786092022-02-28 Asymptomatic gastric tuberculosis in the gastric body mimicking an isolated microscopic erosion: A rare case report Zhang, Wenguang Song, Fusheng Zhang, Zhimei Yang, Jun Zhao, Linlin Medicine (Baltimore) 4500 INTRODUCTION: Gastric tuberculosis is rarely seen in clinical practice, which occurs mostly secondary to lung tuberculosis, intestinal tuberculosis, and other common tuberculosis. Gastric tuberculosis rarely presents as a single microscopic superficial erosion. We recently diagnosed such a case, hence reporting it herein. PATIENT CONCERNS: A 40-year-old female patient was admitted with a chief complaint of painful enlarged cervical lymph nodes. She had no other symptoms or any previous history of remarkable diseases. DIAGNOSIS: Physical examination found multiple enlarged cervical lymph nodes. Computer tomography revealed multiple circular well-defined soft tissue masses in the bilateral carotid sheath spaces. A cervical lymph node biopsy showed caseous necrosis with infiltration of neutrophils and lymphocytes, and most importantly, mycobacteria through staining for acid fast bacilli. Routine gastroscopy showed a 0.5 cm × 0.5 cm well-defined erosion on the large curvature of the gastric body. Gastric biopsy revealed chronic granulomatous inflammation with mycobacteria through staining for acid fast bacilli. The patient was diagnosed as having cervical lymph node tuberculosis and gastric tuberculosis. INTERVENTIONS AND OUTCOMES: She received 6 months of standard anti-tuberculosis therapy. The enlarged cervical lymph nodes shrank in size and the pain was relieved. CONCLUSIONS: Gastroscopy should be performed to look for gastric tuberculosis if the patient presents primary tuberculosis in other organs/tissues such as cervical lymph nodes. If any small erosion is found, a biopsy is justified for checking the possibility of gastric tuberculosis. Lippincott Williams & Wilkins 2022-02-25 /pmc/articles/PMC8878609/ /pubmed/35212291 http://dx.doi.org/10.1097/MD.0000000000028888 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle 4500
Zhang, Wenguang
Song, Fusheng
Zhang, Zhimei
Yang, Jun
Zhao, Linlin
Asymptomatic gastric tuberculosis in the gastric body mimicking an isolated microscopic erosion: A rare case report
title Asymptomatic gastric tuberculosis in the gastric body mimicking an isolated microscopic erosion: A rare case report
title_full Asymptomatic gastric tuberculosis in the gastric body mimicking an isolated microscopic erosion: A rare case report
title_fullStr Asymptomatic gastric tuberculosis in the gastric body mimicking an isolated microscopic erosion: A rare case report
title_full_unstemmed Asymptomatic gastric tuberculosis in the gastric body mimicking an isolated microscopic erosion: A rare case report
title_short Asymptomatic gastric tuberculosis in the gastric body mimicking an isolated microscopic erosion: A rare case report
title_sort asymptomatic gastric tuberculosis in the gastric body mimicking an isolated microscopic erosion: a rare case report
topic 4500
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8878609/
https://www.ncbi.nlm.nih.gov/pubmed/35212291
http://dx.doi.org/10.1097/MD.0000000000028888
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