Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 6 Issue 6

Tuberculosis of the Jejunum in a Kidney Transplant Recipient - A Rare Disease: A Case Report

Basille Christopher C Lazaro1* and Jade D Jamias2

1Division of Internal Medicine, National Kidney and Transplant Institute, East Avenue, Diliman, Quezon City, Metro Manila, Philippines

2Consultant, Section of Gastroenterology, Division of Internal Medicine, National Kidney and Transplant Institute, East Avenue, Diliman, Quezon City, Metro Manila, Philippines

*Corresponding Author: Basille Christopher C Lazaro, Division of Internal Medicine, National Kidney and Transplant Institute, East Avenue, Diliman, Quezon City, Metro Manila, Philippines.

Received: April 06, 2023; Published: May 05, 2023


Tuberculosis of the Jejunum is a rare disease in a solid organ transplant patient. It can present a wide range of symptoms, including fever, vague abdominal pain, weight loss, or blood in the stool, making it difficult to differentiate from another disease process. A high index of clinical suspicion is necessary, and a systematic approach involving endoscopic techniques, imaging studies, and diagnostic laparoscopy as the final approach for histopathologic diagnosis.

This is a case of a 44-year-old male, known End-Stage Renal Disease, post kidney transplant with graft loss and history of pulmonary tuberculosis (PTB) treatment in 2016, who presented with a two-year history of intermittent abdominal pain associated with episodes of low-grade fever, body pains, night sweats, and melena. A stepwise approach for diagnosis was done which included upper and lower endoscopy, CT scan of the abdomen, capsule endoscopy, and lastly with diagnostic laparoscopy, which finally revealed a diagnosis of tuberculosis of the jejunum. The patient was started on quadruple anti-Koch's treatment with significant improvement in his symptoms and was discharged improved and stable.

 Keywords: Tuberculosis of the Jejunum; Kidney Transplant Recipient


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Citation: Basille Christopher C Lazaro and Jade D Jamias. “Tuberculosis of the Jejunum in a Kidney Transplant Recipient - A Rare Disease: A Case Report". Acta Scientific Gastrointestinal Disorders 6.6 (2023): 08-12.


Copyright: © 2023 Basille Christopher C Lazaro and Jade D Jamias. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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