JEFFREY R. FISHER, M.D.
To the editor: Gastrectomy is one of several conditions associated with an increased risk of developing tuberculosis. The American Thoracic Society currently recommends isoniazid prophylaxis for persons with positive tuberculin skin tests who have had gastrectomy (1). The evidence supporting this recommendation has been reviewed elsewhere (2). More recently, tuberculosis has been reported after jejunoileal bypass surgery for obesity (3-5). During the past year, we have seen two patients who developed tuberculosis after upper gastrointestinal surgery without gastrectomy or jejunoileal bypass. Neither patient had contact with a known active case.
A 57-year-old diabetic man with a positive tuberculin reaction (12
FISHER JR. Tuberculosis After Gastrointestinal Surgery. Ann Intern Med. ;87:792. doi: 10.7326/0003-4819-87-6-792_1
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Published: Ann Intern Med. 1977;87(6):792.
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