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Gastric tuberculosis presenting as a large gastric ulcer
  1. Alanood Eisameldin Elterefi1,
  2. Ahmad Kanaan Uwaydah2,
  3. Gamal Rashed Helal3 and
  4. Nidal M M Hassan1
  1. 1Department of Medicine, Zayed Military Hospital, Abu Dhabi, UAE
  2. 2Infectious Diseases, Zayed Military Hospital, Abu Dhabi, UAE
  3. 3Laboratory, Zayed Military Hospital, Abu Dhabi, UAE
  1. Correspondence to Dr Ahmad Kanaan Uwaydah; awaidaak{at}yahoo.com

Abstract

While gastrointestinal (GI) tuberculosis (TB) accounts for 1%–3% of all TB cases worldwide, TB of the stomach is extremely rare and accounts for 1%–2% of all GI TB. Little is known about this entity, and most data are obtained from case reports. We report a case of a woman in her 60s who presented with a 2-week history of generalised weakness, fatigue and shivering, with severe loss of appetite on background history of dyspepsia and significant weight loss for the preceding 2 years. Upper endoscopy revealed a large gastric ulcer. Biopsy and histopathology revealed caseating granulomas with numerous acid-fast bacilli detected with Ziehl-Neelsen stain. She was diagnosed with gastric TB. Subsequently, she was also diagnosed with pulmonary, adrenal and colonic involvement.

  • Ulcer
  • Adrenal disorders
  • GI bleeding
  • Tuberculosis

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Footnotes

  • Contributors AKU is the primary infectious disease consultant of the patient, and was responsible for collecting clinical history and formulating the plan of management. AKU was also responsible for supervising, reviewing and fine-tuning the manuscript. NMMH was involved in collecting clinical history, follow-up and manuscript review. AEE was responsible for reviewing the literature, drafting the manuscript, obtaining consent and follow-up of the patient. GRH was the histopathologist who was involved in diagnosis. GRH was also involved in clinical data collection.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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