Primary gastric tuberculosis mimicking gastric cancer: a case report

  • Abdolkarim Ghadimi Moghadam Professor Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz,
  • Abdolvahab Alborzi Professor Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz,
  • Gholam Pouladfar Professor Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz,
  • Ahmad Monabati Shiraz University of Medical Sciences, Iran
Keywords: tuberculosis, gastrointestinal, immunocompetence, stomach, neoplasms

Abstract

Gastric tuberculosis is an uncommon manifestation of extra-pulmonary tuberculosis infection. The clinical signs of this type of infection are nonspecific and misleading. Clinically gastric tuberculosis resembles peptic ulcer disease or malignancy. We report a case of gastric tuberculosis, which was treated as acid peptic disease, in an Iranian immunocompetent adult with no pulmonary tuberculosis, who received surgery for gastric cancer. Diagnosis was based on PCR despite the detection of negative acid-fast bacilli in the histopathologic specimen. We recommend PCR for Mycobacterium tuberculosis to be done when granuloma or caseation is detected on biopsy in patients who are suspected of having gastric malignancy or acid peptic diseases.

Author Biographies

Gholam Pouladfar, Professor Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz,
Pediateric Infectious diseases subspecialist
Ahmad Monabati, Shiraz University of Medical Sciences, Iran

Associate professor of Pathology

Published
2013-04-17
How to Cite
1.
Ghadimi Moghadam A, Alborzi A, Pouladfar G, Monabati A (2013) Primary gastric tuberculosis mimicking gastric cancer: a case report. J Infect Dev Ctries 7:355-357. doi: 10.3855/jidc.2598
Section
Case Reports