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| 篇名 |
Colon and Rectal Tuberculosis: 21 Cases Experience |
| 作者 |
Tim Shiun Ker, Robert Sam Ker, Tsu San Yen, Te Sho Huang, Wesley Yo Naritoku, Marvin Lewis Corman, Robert William Beart |
| 卷期/出版年月 |
33卷1期 (2000/2) |
| 頁次 |
21-25 |
| 摘要 |
Although the incidence of tuberculosis in the United States is rising, colon and rectal tuberculosis is still rather uncommon. The diagnosis is often delayed and sometimes difficult. To ascertain the clinical characteristics of colon and rectal tuberculosis and the possibility of early diagnosis and treatment. The records of fourteen cases of colon and rectal tuberculosis at the University of Southern California and seven cases at Taipei Medical College from 1985 to 1997 were retrospectively reviewed. The most common symptom was abdominal pain (52.4%), followed by weight loss (28.6%), lower gastrointestinal bleeding, fever and chills. One patient presented with bowel obstruction. One patient had perforations of small bowel. Ten patients had pulmonary tuberculosis; however, only six patients had active pulmonary TB. PPD was positive in five patients. HIV was positive in four patients. Twelve patients underwent colonoscopies; eight patients has masses in the cecal area; two patients had ulcerations; one patient had inflammation; and one patient had irregular narrowing. Fourteen patients underwent various surgeries. Of these fourteen patients, three patients died (21.4%). Seven patients did not undergo surgery. Of these, one patient died (14.3%). The overall mortality was 19.0% in this group. Colon and rectal tuberculosis is an uncommon disease which carries high mortality. High index of suspicion and early diagnosis are the keys to successful treatment. |
| 關鍵詞 |
tuberculosis, colon and rectum, myco-bacteria, granuloma |
| 分類 |
Case report |
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