Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient

Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient

Massive rectal bleeding is an uncommon presentation of ileal tuberculosis (TB). We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the 99technetium labeled red blood cell...

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Main Authors: N Pattanashetti, S Gupta, S Rana, D Dahiya, A Das, V Kumar, M Rathi, H S Kohli, K L Gupta, R Ramachandran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Indian Journal of Nephrology
Subjects:
Intestinal tuberculosis
massive gastrointestinal bleed
tubercular granuloma
Online Access:http://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2019;volume=29;issue=2;spage=132;epage=134;aulast=Pattanashetti
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spelling doaj-4f3d7c5a30d741bc99f7ddf69ecc1b972020-11-24T21:37:53ZengWolters Kluwer Medknow PublicationsIndian Journal of Nephrology0971-40651998-36622019-01-0129213213410.4103/ijn.IJN_360_17Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipientN PattanashettiS GuptaS RanaD DahiyaA DasV KumarM RathiH S KohliK L GuptaR RamachandranMassive rectal bleeding is an uncommon presentation of ileal tuberculosis (TB). We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the 99technetium labeled red blood cell scan showed active bleeding from terminal ileum and caecum. Microscopic examination of the resected specimen revealed tubercular granuloma with acid-fast bacilli. Intestinal TB should be a differential diagnosis for massive LGI bleed in immunosuppressed patients in developing country.http://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2019;volume=29;issue=2;spage=132;epage=134;aulast=PattanashettiIntestinal tuberculosismassive gastrointestinal bleedtubercular granuloma
collection DOAJ
language English
format Article
sources DOAJ
author N Pattanashetti
S Gupta
S Rana
D Dahiya
A Das
V Kumar
M Rathi
H S Kohli
K L Gupta
R Ramachandran
spellingShingle N Pattanashetti
S Gupta
S Rana
D Dahiya
A Das
V Kumar
M Rathi
H S Kohli
K L Gupta
R Ramachandran
Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient
Indian Journal of Nephrology
Intestinal tuberculosis
massive gastrointestinal bleed
tubercular granuloma
author_facet N Pattanashetti
S Gupta
S Rana
D Dahiya
A Das
V Kumar
M Rathi
H S Kohli
K L Gupta
R Ramachandran
author_sort N Pattanashetti
title Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient
title_short Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient
title_full Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient
title_fullStr Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient
title_full_unstemmed Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient
title_sort intestinal tuberculosis: a rare case of massive gastrointestinal bleed in a post-renal transplant recipient
publisher Wolters Kluwer Medknow Publications
series Indian Journal of Nephrology
issn 0971-4065
1998-3662
publishDate 2019-01-01
description Massive rectal bleeding is an uncommon presentation of ileal tuberculosis (TB). We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the 99technetium labeled red blood cell scan showed active bleeding from terminal ileum and caecum. Microscopic examination of the resected specimen revealed tubercular granuloma with acid-fast bacilli. Intestinal TB should be a differential diagnosis for massive LGI bleed in immunosuppressed patients in developing country.
topic Intestinal tuberculosis
massive gastrointestinal bleed
tubercular granuloma
url http://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2019;volume=29;issue=2;spage=132;epage=134;aulast=Pattanashetti
work_keys_str_mv AT npattanashetti intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT sgupta intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT srana intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT ddahiya intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT adas intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT vkumar intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT mrathi intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT hskohli intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT klgupta intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
AT rramachandran intestinaltuberculosisararecaseofmassivegastrointestinalbleedinapostrenaltransplantrecipient
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