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TB or Colon Carcinoma: A Diagnostic Conundrum
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Journal Article
TB or Colon Carcinoma: A Diagnostic Conundrum
2018
Overview
Isolated Colonic tuberculosis (TB) is an infrequently diagnosed condition in the developed world. With expanding globalization and an unprecedented increase in travel worldwide, considering tuberculosis in the differential of atypical lesions in the colon could prove worthwhile. We report a rare case of intestinal TB in a 70- year old male who presented with intractable abdominal discomfort and was subsequently found to have a malignant appearing mass in the hepatic flexure of the colon. He underwent right hemicolectomy with ileo-colic anastomosis and histopathology revealed both caseating and non-caseating granulomas. Ziehl-Neelsen staining was positive for acid-fast bacilli (AFB). He was later discharged on a four-drug anti-TB regimen consisting of Rifampin, Isoniazid, Ethambutol and Pyrazinamide.
Publisher
Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
Subject
