Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
Case report
A Case of Intestinal Tuberculosis Recognized Multiple Bacillus Bodies in the Biopsy Specimen
Tateki Yamane, Hiroyuki Kato, Takayuki Ishii, Yoshihisa Namiki, Makoto Nakamura, Toru Furuya, Kiyotaka Fujise, Tadao Kawamura, Taiki Koizumi, Katsunori Masuda, Masayuki Kobayashi, Gotaro Toda
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2001 Volume 58 Issue 2 Pages 120-121

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Abstract
A 49-year-old man visited our hospital complaining diarrhea and lower abdominal pain. Abdominal CT scan examination showed thickened wall of the right sided colon, and colonoscopic examination revealed edematous and erosive mucosa and narrowed lumen in the intestine from the middle of the ascending colon to the terminal ileum. The biopsy specimen from the erosions showed non-caseous granulomas with Langhans giant cells, and it proved multiple bacillus bodies in the Ziehl-Neelsen stain. The feces specimen showed Gaffky-3 and the PCR method proved it as tubercle bacillus. Though chest roentgenogram showed no abnormality, chest CT scan examination revealed multiple granular shadows in the both lung. We thought it as miliary tuberculosis and suspected that intestinal tuberculosis was brought about hematogenously. It is rare that multiple tubercle bacillus are recognized in the biopsy specimen from the colonic lesion, so we reported it as this case.
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© 2001 Japan Gastroenterological Endoscopy Society Kanto Chapter
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Progress of Digestive Endoscopy(1972)

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