Source: International Congress 2015 – Case series and clinical conundrums in TB
Disease area: Respiratory infections

Abstract

Introduction: We considered that smear positive acid-bacilli in feces of pulmonary tuberculous patients suggests the swallowing bacilli. To date, there are few reports on feces in the intestines in patients with positive acid-fast bacilli. However, some reports suggest that a few tuberculous patients with complicated intestinal tuberculosis developed intestinal perforation. Aims and objectives: The aim of the study is to investigate using a capsule endoscopy study the prevalence of intestinal abnormality in pulmonary tuberculous patients with smear-positive acid-fast bacilli in feces. Methods: The study was an analysis of 12 patients pulmonary tuberculous in Aizu medial center hosptital. Pulmonary tuberculous patients with acid-fast bacilli smear positive feces were investigated by intestinal Capsule endoscopy study from November 2013 to January 2015 in our hospital. The clinical background, age, gender, laboratory data, chest roentgenogram, and outcomes were also investigated. Results: Twelve patients were indentified in this study. The prevalence of the intestinal lesions was high at 41%, with one patient developing intestinal perforation,and two patients were detected to have colon cancer. The prevalence of intestinal lesions was high at about 40%. Conclusion: Our pulmonary tuberculous patients with intestinal lesions were mostly elderly and and poor nutrition status. Our research revealed the incident of intestinal lesion of pulmonary tuberculous patinets was as high as 40% and the capsule endoscopy study was safe and useful to find intestinal ulcerative lesions and other cancer lesions in tuberculous patients.


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Miwako Saitou (Aiduwakamatsu, Japan), Miwako Saitou, Daiki Nemoto, Kennichi Utano, Tomoko Suzuki, Kazutomo Togashi, Katsunao Niitsuma. Capsule endoscopy study on the prevalence of intestinal abnormality in pulmonary tuberculous patients with smear-positive acid-fast bacilli in feces. Eur Respir J 2015; 46: Suppl. 59, 2758

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