Gastric Tuberculosis Masquerading as Persistent Epigastric Pain in an Immunocompetent Patient: A Case Report
Tuberculosis (TB), caused by Mycobacterium tuberculosis , is a leading infectious disease with varied manifestations. We report a rare presentation of gastric TB in a 50-year-old immunocompetent woman from the Middle East with no prior medical history. The patient presented with persistent epigastri...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-11-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/23247096241298160 |
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| author | Hasan Al-Obaidi MD Ahmed Dheyaa Al-Obaidi MBChB Pratiksha Moliya MD Hussein Harb MD Iya Agha MD Nooraldin Merza MD Hashim Talib Hashim MD Mustafa Najah Al-Obaidi MBChB Osamah Al-Obaidi FIBMS |
| author_facet | Hasan Al-Obaidi MD Ahmed Dheyaa Al-Obaidi MBChB Pratiksha Moliya MD Hussein Harb MD Iya Agha MD Nooraldin Merza MD Hashim Talib Hashim MD Mustafa Najah Al-Obaidi MBChB Osamah Al-Obaidi FIBMS |
| author_sort | Hasan Al-Obaidi MD |
| collection | DOAJ |
| description | Tuberculosis (TB), caused by Mycobacterium tuberculosis , is a leading infectious disease with varied manifestations. We report a rare presentation of gastric TB in a 50-year-old immunocompetent woman from the Middle East with no prior medical history. The patient presented with persistent epigastric pain, weight loss, nausea, and vomiting over a 2-month duration. Imaging studies and an infectious disease panel were inconclusive. However, upper endoscopy revealed a subepithelial lesion at the pylorus, with biopsies demonstrating caseating granuloma and multinucleated giant cells. A QuantiFERON test was subsequently positive for TB. The patient was successfully treated with standard TB quadruple therapy, resulting in significant improvement in symptoms during follow-up. This case underscores the importance of considering extrapulmonary TB in immunocompetent patients with atypical gastrointestinal symptoms and highlights the efficacy of prompt antitubercular therapy. |
| format | Article |
| id | doaj-art-e02ed5e11e4d4ea69ee29b1aefd729c2 |
| institution | DOAJ |
| issn | 2324-7096 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj-art-e02ed5e11e4d4ea69ee29b1aefd729c22025-08-20T02:49:52ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962024-11-011210.1177/23247096241298160Gastric Tuberculosis Masquerading as Persistent Epigastric Pain in an Immunocompetent Patient: A Case ReportHasan Al-Obaidi MD0Ahmed Dheyaa Al-Obaidi MBChB1Pratiksha Moliya MD2Hussein Harb MD3Iya Agha MD4Nooraldin Merza MD5Hashim Talib Hashim MD6Mustafa Najah Al-Obaidi MBChB7Osamah Al-Obaidi FIBMS8Jamaica Hospital Medical Center, New York, NY, USAUniversity of Baghdad, IraqJamaica Hospital Medical Center, New York, NY, USARoss University School of Medicine, Bridgetown, BarbadosNew York Institute of Technology, Westbury, NY, USAThe University of Toledo, OH, USAUniversity of Warith Al-Anbiyaa, Karbala, IraqUniversity of Baghdad, IraqUniversity Al-Qadisiyah, Diwaniya, IraqTuberculosis (TB), caused by Mycobacterium tuberculosis , is a leading infectious disease with varied manifestations. We report a rare presentation of gastric TB in a 50-year-old immunocompetent woman from the Middle East with no prior medical history. The patient presented with persistent epigastric pain, weight loss, nausea, and vomiting over a 2-month duration. Imaging studies and an infectious disease panel were inconclusive. However, upper endoscopy revealed a subepithelial lesion at the pylorus, with biopsies demonstrating caseating granuloma and multinucleated giant cells. A QuantiFERON test was subsequently positive for TB. The patient was successfully treated with standard TB quadruple therapy, resulting in significant improvement in symptoms during follow-up. This case underscores the importance of considering extrapulmonary TB in immunocompetent patients with atypical gastrointestinal symptoms and highlights the efficacy of prompt antitubercular therapy.https://doi.org/10.1177/23247096241298160 |
| spellingShingle | Hasan Al-Obaidi MD Ahmed Dheyaa Al-Obaidi MBChB Pratiksha Moliya MD Hussein Harb MD Iya Agha MD Nooraldin Merza MD Hashim Talib Hashim MD Mustafa Najah Al-Obaidi MBChB Osamah Al-Obaidi FIBMS Gastric Tuberculosis Masquerading as Persistent Epigastric Pain in an Immunocompetent Patient: A Case Report Journal of Investigative Medicine High Impact Case Reports |
| title | Gastric Tuberculosis Masquerading as Persistent Epigastric Pain in an Immunocompetent Patient: A Case Report |
| title_full | Gastric Tuberculosis Masquerading as Persistent Epigastric Pain in an Immunocompetent Patient: A Case Report |
| title_fullStr | Gastric Tuberculosis Masquerading as Persistent Epigastric Pain in an Immunocompetent Patient: A Case Report |
| title_full_unstemmed | Gastric Tuberculosis Masquerading as Persistent Epigastric Pain in an Immunocompetent Patient: A Case Report |
| title_short | Gastric Tuberculosis Masquerading as Persistent Epigastric Pain in an Immunocompetent Patient: A Case Report |
| title_sort | gastric tuberculosis masquerading as persistent epigastric pain in an immunocompetent patient a case report |
| url | https://doi.org/10.1177/23247096241298160 |
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