Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2024; 12(18): 3295-3297
Published online Jun 26, 2024. doi: 10.12998/wjcc.v12.i18.3295
Primary extrapulmonary tuberculosis diagnosis warrants extra-precautious pulmonary tuberculosis exclusion workup
Sumanta Saha
Sumanta Saha, Department of Women's and Children's Health, Dunedin Public Hospital, Dunedin 9016, New Zealand
Author contributions: All the work, from conceptualization to final drafting of this manuscript, was done by Saha S.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Sumanta Saha, MBBS, DNB, Academic Editor, Department of Women's and Children's Health, Dunedin Public Hospital, 201 Great King Street, Dunedin 9016, New Zealand. sumanta.saha@uq.net.au
Received: March 3, 2024
Revised: April 17, 2024
Accepted: April 26, 2024
Published online: June 26, 2024
Processing time: 106 Days and 12.1 Hours
Core Tip

Core Tip: The diagnosis of primary gastrointestinal tuberculosis due to Mycobacterium tuberculosis infection requires an overarchingly holistic stepwise case evaluation approach to exclude primary pulmonary tuberculosis rather than exclusively depending on high-end radiation-intensive expensive methods. Moreover, tuberculosis-relevant history-obtainment may not be limited to the disease-specific constitutional symptoms and signs. Instead, it may consider relevant factors like countries where the patient had been, tuberculosis contacts, nutrition, smoking and drinking habits, and weight loss. Additional primary pulmonary tuberculosis workup considerations can include important caveats in its diagnostic interpretations, like latent tuberculosis, atypical tuberculosis, and immunocompromised status.