TY - JOUR T1 - Gastric tuberculosis presenting as a large gastric ulcer JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2021-248215 VL - 15 IS - 5 SP - e248215 AU - Alanood Eisameldin Elterefi AU - Ahmad Kanaan Uwaydah AU - Gamal Rashed Helal AU - Nidal M M Hassan Y1 - 2022/05/01 UR - http://casereports.bmj.com/content/15/5/e248215.abstract N2 - 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. ER -