Isolated rectal tuberculosis in immunocompetent host

Abstract

Abdominal tuberculosis (TB) is the sixth most common site for extrapulmonary TB. Ileocecal region is the most common site for it, and its incidence reduces as we move proximally and distally from it. Isolated rectal TB in an immunocompetent person is very rare, and it usually mimics as rectal carcinoma. The yield of endoscopic biopsies for granuloma is low due to submucosal location of these lesions, and mostly, they are diagnosed after surgical intervention. We report a case of isolated rectal TB in a middle-aged female who present with chronic diarrhea and was diagnosed by the presence of epithelioid cells forming granulomas and acid-fast bacilli in rectal biopsy.

Pancreatic Tuberculosis: A Rare Type of Extra Pulmonary Tuberculosis

“…Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. 1,2 Tuberculosis is a serious health problem not only in Indonesia, but worldwide. 1 In 2003, it is estimated that 9.0 million people developed TB and 1.5 million died from the disease, and each year it occurs in nearly 9.7 million people and claims about 2 million lives worldwide, with the highest incidence occur in Asia, South America, eastern Europe, and most sub-Saharan African countries.…”

“…1 In 2003, it is estimated that 9.0 million people developed TB and 1.5 million died from the disease, and each year it occurs in nearly 9.7 million people and claims about 2 million lives worldwide, with the highest incidence occur in Asia, South America, eastern Europe, and most sub-Saharan African countries. 1,2 Pulmonary TB is the most common presentation of disease. Other than pulmonary TB, there is extra pulmonary TB (EPTB).…”

“…Extra pulmonary TB occurs in 20% of all cases of TB in immunocompetent hosts and nearly 50% in patient with human immunodeficiency virus (HIV). 1,2 Extra pulmonary TB means the occurrence of TB at sites other than the lung, and it can occur in almost any organ system, including abdominal organs. 2 Abdominal TB is the sixth most common site for EPTB and includes infection anywhere in the gastrointestinal tract, peritoneum, and intraabdominal organs such as spleen, liver, and pancreas.…”

“…1,2 Extra pulmonary TB means the occurrence of TB at sites other than the lung, and it can occur in almost any organ system, including abdominal organs. 2 Abdominal TB is the sixth most common site for EPTB and includes infection anywhere in the gastrointestinal tract, peritoneum, and intraabdominal organs such as spleen, liver, and pancreas. 1,3,4 Abdominal TB happens in 5-12% of patients with TB.…”

“…1,3 Pancreatic TB is rare even in the endemic countries, with incidence report to be less than 4.7% worldwide. 1,2 However lately cases are increasingly reported, probably due to further advancements in diagnostic. 5 Pancreatic TB first reported in 1944 by Auerbach that found only 14 cases with pancreatic involvement from 1,656 TB patients.…”