[Intestinal Tuberculosis in an Immunocompetent Patient: A Case Report].

Abstract

Intestinal tuberculosis is an infrequent pathology. Although it has a low incidence, it is on the rise due to the increase in the number of cases of HIV infection, resistance to anti-tuberculosis drugs, and migratory changes. Sometimes diagnosis is difficult for physicians given its clinical heterogeneity. It can mimic other intestinal diseases, and therefore its detection and start of treatment are often late. For this reason, the diagnosis is usually made in advanced or severe stages. We present the case of a 53-year-old immunocompetent woman with fever, general repercussions, respiratory symptoms and diarrhea of 3 months' evolution. Video colonoscopy showed lesions in the cecum with biopsies confirming Mycobacterium tuberculosis, also present in respiratory samples. Despite initiating anti-tuberculosis treatment, the patient presented intestinal perforation with poor evolution and death.