| Journal: | Revista do Colegio Brasileiro de Cirurgioes |
| Database: | PERIÓDICA |
| System number: | 000189090 |
| ISSN: | 0100-6991 |
| Authors: | Mendonca de Freitas, Luiz Alberto1 Jorge, Alexandre Aloisio, Dimas Alberto Campos |
| Institutions: | 1Hospital Regional de Sobradinho, Unidade de Cirurgia Geral, Brasilia, Distrito Federal. Brasil |
| Year: | 2000 |
| Season: | Ene-Dic |
| Volumen: | 27 |
| Number: | 1 |
| Pages: | 57-59 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Aplicado, descriptivo |
| English 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 |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Gastroenterología, Microbiología, Tuberculosis entérica, Intestino delgado, Mycobacterium tuberculosis, Mycobacterium bovis |
| Keyword: | Medicine, Gastroenterology, Microbiology, Surgery, Enteric tuberculosis, Small intestine, Mycobacterium tuberculosis, Mycobacterium bovis |
| Full text: | Texto completo (Ver PDF) |
