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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Which Test Is Required To Check For Intestinal TB?

Hi, My mom has primary liver cancer she had cirrhosis of liver for many years and cancer got detected this December. She has been on sorafenib for past few months, but her onoclogist is concerned with her drastic weight loss. She had TB of intestine many years ago but it got cured , but she is wondering if she should get tested for it again , what tests should she ask her Dr to do???
Wed, 24 Sep 2014
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Pathologist and Microbiologist,  's  Response
Hi!
Welcome to HCM!
Weight loss can be due to malignancy itself .
Tests for T.B intestine are : Anemia, lymphocytosis, and an elevated ESR seen . Mantouix test -positive tuberculin test indicates infection, a negative tuberculin test may occur in infected immunocompromised patients.
Stool samples are rarely positive for acid-fast bacilli.
An abdominal radiograph may show dilated loops with fluid levels, calcification of mesentric lymph nodes, dilatation of terminal ileum, and ascites.
Barium meal examinations help in the diagnosis of ileocaecal lesions and jejunoileal intestinal lesions.
Sonography CT scanning can detect thickening of ileum, caecum, mesentry, and peritoneum; enlarged nodes .
Tissue biopsy and PCR are done finally for direct evidence.Hope this helps!
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Which Test Is Required To Check For Intestinal TB?

Hi! Welcome to HCM! Weight loss can be due to malignancy itself . Tests for T.B intestine are : Anemia, lymphocytosis, and an elevated ESR seen . Mantouix test -positive tuberculin test indicates infection, a negative tuberculin test may occur in infected immunocompromised patients. Stool samples are rarely positive for acid-fast bacilli. An abdominal radiograph may show dilated loops with fluid levels, calcification of mesentric lymph nodes, dilatation of terminal ileum, and ascites. Barium meal examinations help in the diagnosis of ileocaecal lesions and jejunoileal intestinal lesions. Sonography CT scanning can detect thickening of ileum, caecum, mesentry, and peritoneum; enlarged nodes . Tissue biopsy and PCR are done finally for direct evidence.Hope this helps!