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August 11, 1978

Miliary Tuberculosis With Ileocecal Involvement Diagnosed by Colonoscopy

Author Affiliations

From The Fronk Clinic, Honolulu.

JAMA. 1978;240(6):561-562. doi:10.1001/jama.1978.03290060063020

ILEOCECAL tuberculosis (TB) is fast becoming a curiosity, although it continues to occupy a prominent place in the differential diagnosis of ileocecal lesions. The reasons for its decline are primarily twofold: (1) pasteurization of milk has virtually eliminated bovine TB, and (2) cavitary pulmonary TB, the type usually associated with secondary intestinal involvement, is declining in frequency. Virtually all pulmonary and intestinal TB in the United States today is caused by Mycobacterium tuberculosis.

We report a case of miliary TB with ileocecal involvement presenting with diarrhea and abdominal pain, in which the diagnosis of the cecal lesions was made by colonoscopy.

Report of a Case  A 56-year-old man had complaints of abdominal pain, weakness, and diarrhea for approximately three weeks. He had lived for two years in the Far East, where he met and married a local woman. He left the area one year ago. There was a history of