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August 21, 2025Open Access

Gastrointestinal Tuberculosis Presenting as a Massive Lower Gastrointestinal Bleed in a Patient With Newly Diagnosed HIV/AIDS

Key Points

Severe lower gastrointestinal bleeding occurred in a patient with gastrointestinal tuberculosis and HIV/AIDS, indicating a rare but critical condition.
The patient required vasopressor support due to the massive bleed, underscoring the need for prompt intervention.
This case illustrates the uncommon but severe presentation of GI TB in immunocompromised individuals, particularly those with HIV/AIDS.
Awareness of potential GI bleed is crucial in patients with gastrointestinal tuberculosis, especially in those with underlying immunosuppression.

Abstract

ABSTRACT Gastrointestinal tuberculosis (GI TB) is an uncommon sequela of extrapulmonary TB, occurring in 1%-3% of TB cases worldwide. In the United States, many cases are seen in migrant populations or in immunocompromised individuals. The classic presentation of GI TB is nonspecific abdominal pain, and is not typically associated with significant, life-threatening bleeding. We present a case of GI TB complicated by severe lower GI bleed requiring vasopressor support in a newly emigrated patient with previously undiagnosed HIV/AIDS.

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Authors

Kevan Josloff

Kathleen Spritzer

Anna Chen

Journals

ACG Case Reports Journal

Actions

Institutions

Sidney Kimmel Cancer Center

Thomas Jefferson University Hospital

References and Citations

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Gastrointestinal Tuberculosis Presenting as a Massive Lower Gastrointestinal Bleed in a Patient With Newly Diagnosed HIV/AIDS

Key Points

Abstract

Citation Network

Connected Papers

Discussion

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion

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