Primary gastric tuberculosis mimicking gastric cancer: a case report | Zendy

Abdolkarim Ghadimi Moghadam | Zendy; Abdolvahab Alborzi | Zendy; Gholamreza Pouladfar | Zendy; Ahmad Monabati | Zendy

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Primary gastric tuberculosis mimicking gastric cancer: a case report

Author(s) -

Abdolkarim Ghadimi Moghadam,

Abdolvahab Alborzi,

Gholamreza Pouladfar,

Ahmad Monabati

Publication year - 2013

Publication title -

the journal of infection in developing countries

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.322

H-Index - 49

eISSN - 2036-6590

pISSN - 1972-2680

DOI - 10.3855/jidc.2598

Subject(s) - medicine , malignancy , tuberculosis , cancer , disease , mycobacterium tuberculosis , helicobacter pylori , biopsy , pathology , gastroenterology

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.

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