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<p>Tuberculosis (TB) and intestinal helminth infections are common in many regions, particularly in low- and middle-income countries; however, co-occurrence is rare. Helminth infections, such as those caused by <i>Taenia</i> species, affect over 2 billion people globally and can alter immune responses, potentially influencing TB severity. The interaction between TB and helminth infections remains underreported, especially in cases of concurrent intestinal TB and <i>Taenia</i> infection. This report highlights a rare case of intestinal TB with <i>Taenia</i> co-infection in a patient, underscoring the importance of prompt recognition and treatment. A 61-year-old female with type 2 diabetes mellitus presented to the emergency department with abdominal pain and constipation and reported passing worms in her stool. She had experienced intermittent fever over the prior two weeks. Imaging studies and stool examination revealed intestinal obstruction due to a <i>Taenia</i> species infection, which was surgically managed with resection and anastomosis. Histopathology showed granulomatous inflammation with caseous necrosis and acid-fast bacilli, confirming a diagnosis of tubercular colitis with <i>Taenia</i> infection. This case highlights the potential for co-infection of TB and intestinal helminths, a situation that is often overlooked and underreported. Clinicians should maintain a high index of suspicion, especially in resource-limited settings, as delayed diagnosis can lead to adverse outcomes. Early diagnosis and simultaneous treatment of both infections are critical to prevent complications and improve patient outcomes.</p>

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Double Trouble: A Rare Case of Intestinal Tuberculosis and Taenia Co-Infection with Comprehensive Review of Literature

  • 期刊论文

  • 发表日期：

    2025年2月26日

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  • Indhumathi Rajendiran,
  • Adil Aziz Khan,
  • Sachin Kolte,
  • Nishu Raj

摘要

Tuberculosis (TB) and intestinal helminth infections are common in many regions, particularly in low- and middle-income countries; however, co-occurrence is rare. Helminth infections, such as those caused by Taenia species, affect over 2 billion people globally and can alter immune responses, potentially influencing TB severity. The interaction between TB and helminth infections remains underreported, especially in cases of concurrent intestinal TB and Taenia infection. This report highlights a rare case of intestinal TB with Taenia co-infection in a patient, underscoring the importance of prompt recognition and treatment. A 61-year-old female with type 2 diabetes mellitus presented to the emergency department with abdominal pain and constipation and reported passing worms in her stool. She had experienced intermittent fever over the prior two weeks. Imaging studies and stool examination revealed intestinal obstruction due to a Taenia species infection, which was surgically managed with resection and anastomosis. Histopathology showed granulomatous inflammation with caseous necrosis and acid-fast bacilli, confirming a diagnosis of tubercular colitis with Taenia infection. This case highlights the potential for co-infection of TB and intestinal helminths, a situation that is often overlooked and underreported. Clinicians should maintain a high index of suspicion, especially in resource-limited settings, as delayed diagnosis can lead to adverse outcomes. Early diagnosis and simultaneous treatment of both infections are critical to prevent complications and improve patient outcomes.