Resumo
The authors reports two patients with operated from enteric tuberculosis. Tuberculosis involving the intestinal tract may be due to either Mycobacterium tuberculosis or M. bovis. In the former situation, the disease is primary to the lungs and is carried to the intestinal tract by swallowing sputum. The latter organism produces infection associated with swallowed nonpasteurized milk. This condition is extremely unusual in most western countries, since pasteurization of milk is standardized. The diagnosis was performed through laparotomy because of symptoms suggestive of intestine obstruction. Inflammatory reactions were observed on the small intestine (jejunum-ileum) in both cases. The presence of tuberculosis of the lungs was observed in one patient. The chemotherapic treatment was estabilished after the histopathologic diagnosis. The distinction between tuberculosis and Crohn's disease may not be possible by radiography or endoscopy. Videolaparoscopy has been found to be an useful procedure for the early diagnosis of Enteric Tuberculosis. In spite of the epidemiology knowledge, clinical control and improvement in treatment, extra pulmonary tuberculosis rate from concealed focus has been increased, due to AIDS poverty in certain populational groups and immigration from Asia to wertern countries. Compared with immunocompetent patients, the proportion of extrapulmonary tuberculosis is much higher in patients with AIDS, justfying the increased frequency of reports of intestinal tuberculosis in these patients.
Tuberculosis; Enteric tuberculosis
Tuberculosis; Enteric tuberculosis
RELATOS DE CASOS
Tuberculose entérica
Instestinal tuberculosis
Luiz Alberto Mendonça de Freitas, TCBC-DFI; Alexandre Jorge, TCBC-DFII; Dimas Alberto Campos Aloísio, ACBC-DFIII
ICirurgião Geral e Coloproctologista. Preceptor da Residência Médica em Cirurgia Geral no HRS
IICirurgião Geral. Preceptor da Residência Médica em Cirurgia Geral no HRS. Prof. de Anatomia da Universidade Católica de Brasília
IIICirurgião Geral. Chefe da Unidade de Cirurgia do HRS. Preceptor da Residência Médica em Cirurgia Geral do HRS
Endereço para correspondência Endereço para correspondência: Dr. Alexandre Jorge SQS 108 Bloco D Apto. 101 70347-040 - Brasília - DF
ABSTRACT
The authors reports two patients with operated from enteric tuberculosis. Tuberculosis involving the intestinal tract may be due to either Mycobacterium tuberculosis or M. bovis. In the former situation, the disease is primary to the lungs and is carried to the intestinal tract by swallowing sputum. The latter organism produces infection associated with swallowed nonpasteurized milk. This condition is extremely unusual in most western countries, since pasteurization of milk is standardized. The diagnosis was performed through laparotomy because of symptoms suggestive of intestine obstruction. Inflammatory reactions were observed on the small intestine (jejunum-ileum) in both cases. The presence of tuberculosis of the lungs was observed in one patient. The chemotherapic treatment was estabilished after the histopathologic diagnosis. The distinction between tuberculosis and Crohn's disease may not be possible by radiography or endoscopy. Videolaparoscopy has been found to be an useful procedure for the early diagnosis of Enteric Tuberculosis. In spite of the epidemiology knowledge, clinical control and improvement in treatment, extra pulmonary tuberculosis rate from concealed focus has been increased, due to AIDS poverty in certain populational groups and immigration from Asia to wertern countries. Compared with immunocompetent patients, the proportion of extrapulmonary tuberculosis is much higher in patients with AIDS, justfying the increased frequency of reports of intestinal tuberculosis in these patients.
Key words: Tuberculosis; Enteric tuberculosis.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Aceito para publicação em 25/10/99
Recebido em 05/05/98
Trabalho realizado na Unidade de Cirurgia Geral do Hospital Regional de Sobradinho - Brasília - DF.
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- 3. Lisehora GB, Peters CC, Lee MY. Tuberculosis Peritonitis - Do not miss it. Dis Colon Rectum 1996;39:349-359.
- 4. Corman ML.Colon and Rectal Surgery - Lippincott-Raven 1997. Fourth Edition.
- 5. Bhargava DK, Shriniwas, Chopra P. Peritoneal tuberculosis: Laparoscopic patterns and its diagnostic accuracy. Am J Gastroenterol 1992;87:109-114.
Datas de Publicação
-
Publicação nesta coleção
31 Jul 2009 -
Data do Fascículo
Fev 2000
Histórico
-
Aceito
05 Maio 1998 -
Recebido
25 Out 1999
