Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient

We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the 99technetium labeled red blood cell scan showed active bleeding from terminal ileum and caecum. Microscopic examination of the resected specimen revealed tubercular granuloma with acid-fast bacilli. Intestinal TB should be a differential diagnosis for massive LGI bleed in immunosuppressed patients in developing country.

Source: Indian Journal of Nephrology - March 19, 2019 Category: Urology & Nephrology Authors: N Pattanashetti S Gupta S Rana D Dahiya A Das V Kumar M Rathi HS Kohli KL Gupta R Ramachandran Source Type: research