Gastric Tuberculosis Mimicking Cancer Manifestations in Peru

Authors

DOI:

https://doi.org/10.21776/ub.crjim.2023.004.01.10

Keywords:

tuberculosis, gastric tuberculosis, gastric ulcer, HIV

Abstract

Tuberculosis is a high-incidence public health problem in Peru. In our context, Tuberculosis is seen commonly as a pulmonary infection. Extrapulmonary tuberculosis as gastric is rare, both as a primary or secondary infection, with just a few case reports published about these kinds of presentations. This case report presents a 44-year-old female patient with weight loss, dyspepsia, and abdominal pain. Upper endoscopy reveals antral polypoid masses and a gastric ulcer. Abdominal CT shows lymph nodes and stomach wall thickening. Biopsies results were negative for malignancy and positive for granulomas. Sputum acid-fast bacilli smear on microscopic examination was positive. Coexistent pulmonary, gastric tuberculosis, and human immunodeficiency virus infection mimicking gastric cancer were confirmed. We will present this case in detail below.

Author Biographies

Fernando Barreda, Gastroenterology, Instituto Nacional de Enfermedades Neoplásicas, Lima, PERU

Gastroenterology, Instituto Nacional de Enfermedades Neoplásicas, Lima, PERU

Nadia Malpartida-Beraún, Gastroenterology, Instituto Nacional de Enfermedades Neoplásicas, Lima, PERU

Gastroenterology, Instituto Nacional de Enfermedades Neoplásicas, Lima, PERU

Claudia Barreda, Medicine, Peruvian University of Applied Sciences, lima, PERU

Medicine, Peruvian University of Applied Sciences, lima, PERU

Melvy Guerrero, Patology, Instituto Nacional de Enfermedades Neoplásicas, Lima, PERU

Patology, Instituto Nacional de Enfermedades Neoplásicas, Lima, PERU

References

Furin J, Cox H, Pai M. Tuberculosis. Lancet. 2019;393(10181):1642-56. Epub 20190320. doi: 10.1016/S0140-6736(19)30308-3. PubMed PMID: 30904262.

(MINSA) MdSP. Tasa epidemiológica Perfil Tuberculosis Perú. high charts. http://www.tuberculosis.minsa.gob.pe/DashboardDPCTB/PerfilTB.aspx2020.

Alarcón V, Alarcón E, Figueroa C, Mendoza-Ticona A. [Tuberculosis in Peru: epidemiological situation, progress and challenges for its control]. Rev Peru Med Exp Salud Publica. 2017;34(2):299-310. doi: 10.17843/rpmesp.2017.342.2384. PubMed PMID: 29177392.

Sheer TA, Coyle WJ. Gastrointestinal tuberculosis. Curr Gastroenterol Rep. 2003;5(4):273-8. doi: 10.1007/s11894-003-0063-1. PubMed PMID: 12864956.

Marshall JB. Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol. 1993;88(7):989-99. PubMed PMID: 8317433.

Malikowski T, Mahmood M, Smyrk T, Raffals L, Nehra V. Tuberculosis of the gastrointestinal tract and associated viscera. J Clin Tuberc Other Mycobact Dis. 2018;12:1-8. Epub 20180414. doi: 10.1016/j.jctube.2018.04.003. PubMed PMID: 31720391; PubMed Central PMCID: PMC6830173.

Rathi P, Gambhire P. Abdominal Tuberculosis. J Assoc Physicians India. 2016;64(2):38-47. PubMed PMID: 27730779.

Villena-Suarez JR, Vicente W, Taxa L, Cuéllar L, Nuñez-Butrón MT, Villegas V, et al. [Tuberculosis That Mimics Cancer: Cases Referred to the National Institute of Neoplastic Diseases, Lima-Peru]. Rev Peru Med Exp Salud Publica. 2018;35(1):77-83. doi: 10.17843/rpmesp.2018.351.3602. PubMed PMID: 29924283.

Espinoza-Ríos J, Bravo Paredes E, Pinto Valdivia J, Guevara J, Huerta-Mercado J, Tagle Arróspide M, et al. Penetrating gastric ulcer as a manifestation of multisystemic tuberculosis. Rev Gastroenterol Peru. 2017;37(1):91-3. PubMed PMID: 28489844.

Kim TU, Kim SJ, Ryu H, Kim JH, Jeong HS, Roh J, et al. Gastric Tuberculosis Presenting as a Subepithelial Mass: A Rare Cause of Gastrointestinal Bleeding. Korean J Gastroenterol. 2018;72(6):304-7. doi: 10.4166/kjg.2018.72.6.304. PubMed PMID: 30642149.

Ma J, Yin H, Xie H. Critical role of molecular test in early diagnosis of gastric tuberculosis: a rare case report and review of literature. BMC Infect Dis. 2019;19(1):589. Epub 20190705. doi: 10.1186/s12879-019-4225-7. PubMed PMID: 31277586; PubMed Central PMCID: PMC6612222.

Lv M, Tang K, Meng Y, Tian C, Wang M. Primary isolated asymptomatic gastric tuberculosis of the cardia mimicking gastric stromal tumor: a rare case report and literature review. BMC Gastroenterol. 2020;20(1):108. Epub 20200415. doi: 10.1186/s12876-020-01242-x. PubMed PMID: 32293275; PubMed Central PMCID: PMC7158059.

Arabi NA, Musaad AM, Ahmed EE, Ibnouf MM, Abdelaziz MS. Primary gastric tuberculosis presenting as gastric outlet obstruction: a case report and review of the literature. J Med Case Rep. 2015;9:265. Epub 20151118. doi: 10.1186/s13256-015-0748-8. PubMed PMID: 26577440; PubMed Central PMCID: PMC4650840.

Manoria P, Gulwani HV. Gastric tuberculosis presenting as non healing ulcer: A case report. Indian J Tuberc. 2019;66(4):502-4. Epub 20181105. doi: 10.1016/j.ijtb.2018.10.003. PubMed PMID: 31813440.

Bulut Gökten D, Katipoglu B, Basara E, Ates I, Yılmaz N. A Case Report of Peritoneal Tuberculosis: A Challenging Diagnosis. Case Rep Infect Dis. 2018;2018:4970836. Epub 20180111. doi: 10.1155/2018/4970836. PubMed PMID: 29593920; PubMed Central PMCID: PMC5821965.

Nayyar E, Torres JA, Malvestutto CD. Tuberculous Gastric Abscess in a Patient with AIDS: A Rare Presentation. Case Rep Infect Dis. 2016;2016:5675036. Epub 20160430. doi: 10.1155/2016/5675036. PubMed PMID: 27239353; PubMed Central PMCID: PMC4867059.

Udgirkar S, Surude R, Zanwar V, Chandnani S, Contractor Q, Rathi P. Gastroduodenal Tuberculosis: A Case Series and Review of Literature. Clin Med Insights Gastroenterol. 2018;11:1179552218790566. Epub 20180730. doi: 10.1177/1179552218790566. PubMed PMID: 30083063; PubMed Central PMCID: PMC6066802.

Das K, Ghoshal UC, Dhali GK, Benjamin J, Ahuja V, Makharia GK. Crohn's disease in India: a multicenter study from a country where tuberculosis is endemic. Dig Dis Sci. 2009;54(5):1099-107. Epub 20080904. doi: 10.1007/s10620-008-0469-6. PubMed PMID: 18770037.

(MINSA) MdSP. Norma Técnica de salud para la atención integral de las personas afectadas por tuberculosis. In: Tuberculosis DGdSdlPESNdPyCdl, editor. Lima - Perú2013. p. 172.

Chaudhary P, Khan AQ, Lal R, Bhadana U. Gastric tuberculosis. Indian J Tuberc. 2019;66(3):411-7. Epub 20181110. doi: 10.1016/j.ijtb.2018.10.004. PubMed PMID: 31439189.

Downloads

Published

2023-05-25

How to Cite

Barreda, F., Malpartida-Beraún, N., Barreda, C., & Guerrero, M. (2023). Gastric Tuberculosis Mimicking Cancer Manifestations in Peru. Clinical and Research Journal in Internal Medicine, 4(1), 434–439. https://doi.org/10.21776/ub.crjim.2023.004.01.10