A Case of Tuberculosis of the Small Intestine Associated with a Characteristic Clinical Course.

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  • 特異な経過をたどった腸結核の１例

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Abstract

We report a case of tuberculosis of the small intestine in an elderly patient in whom resection of the intestinal foci under laparotomy brought about symptomatic remission. A 75-year-old woman was admitted to the hospital with a diagnosis of left venous thrombosis. Immediately after admission, she had chill and fever with tremor repeatedly. Urinary tract infection, was strongly suspected, but it was really difficult to specify the cause of this disease. During the process, she had painless ileus several times. CT and magnetic resonance imaging (MRI) revealed a thickening of the small intestinal wall. We performed a lapatomy. There were two spindly lesions in her ileum and we cut those off about eighty centimeters included the ileocecuon. Pathological diagnosis was small intestinal tuberculosis. After the operation, we enforced chemotherapy with antituberculotic agents and her condition improved. While she moved and was in another hospital to obeserve her health condition, suddenly there was right hemiplegia appeared. Brain enhanced CT scan and MRI visualized two edematous lesions on her left parietal lobe. After a craniotomy, she was pathologically diagnosed as having brain tuberculosis. After the operation, she maintained on the chemotherapy.

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