title: A man from South Asia presenting with abdominal pain.
abstract: The diagnosis of abdominal tuberculosis (TB) is challenging due to the non-specific clinical presentation and frequent failure to detect the pathogen. A young Bangladeshi man presented to the Emergency Outpatient department with constipation and burning abdominal pain that was localised primarily in the epigastrium. Although the infectious agent was not detected, findings of histological examination were helpful in guiding the treatment strategy. As a good clinical practice, it is important to consider abdominal TB as a possible diagnosis in such cases, particularly when a patient has previously been residing in a high TB burden country. Thus, appropriate diagnosis and early antituberculous therapy are essential for achieving a positive outcome.
authors.affiliation: Department of Emerging Infectious Diseases, Tohoku University, Sendai, Japan.
authors.forename: Beata
authors.initials: B
authors.lastname: Shiratori
authors.forename: Osamu
authors.initials: O
authors.lastname: Usami
authors.forename: Toshio
authors.initials: T
authors.lastname: Hattori
authors.forename: Yugo
authors.initials: Y
authors.lastname: Ashino
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001459:Bangladesh / Q000208:ethnology; D054242:Emigrants and Immigrants; D006801:Humans; D007564:Japan; D008297:Male; D064847:Multimodal Imaging; D014395:Peritonitis, Tuberculous / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed
chemical_list: D000995:Antitubercular Agents