Abstract

BISERO, Elsa Delia; LUQUE, Graciela Fabiana; MELILLO, Karina Claudia  and  MESSERE, Gabriela Carina. Pediatric Intestinal Tuberculosis. A Trojan Horse. Rev. am. med. respir. [online]. 2021, vol.21, n.2, pp.227-232. ISSN 1852-236X.

Intestinal and peritoneal tuberculosis (TB) is a regional, chronic, specific disease, generally secondary to advanced pulmonary TB. It is mostly localized at the ileal lymphoid tissue. The diagnosis may be suspected due to the symptoms, the patient's history, and imaging tests, such as chest x-ray, computerized axial tomography and echography. For confirmation, it is necessary to perform a colonoscopy and a biopsy sample to show caseating granulomas and the acid-alcohol resistant bacillus.

We present the case of a child who consulted for a perianal abscess and fistula that were treated as inflammatory bowel disease, whose chest x-ray encouraged the suspicion and study of TB.

Keywords : Pediatric tuberculosis; Disseminated tuberculosis; Intestinal tuberculosis; Peritoneal tuberculosis; Fistula rectal; Rectal abscess.

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