ArticleIntestinal Failure (New York, N.Y.)
Long-term medical nutrition therapy improves the outcome of an abdominal tuberculosis patient with intestinal failure, severe malnutrition, and high-risk refeeding syndrome: A case report.
Article in Intestinal Failure (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Abdominal tuberculosis (TB) complicated with enterocutaneous fistula (ECF) carries a high mortality rate of up to 20 %, which further increases in the presence of malnutrition. This case report discusses a long-term medical nutrition therapy (MNT) approach in managing a complex case of abdominal TB with intestinal failure in a resource-limited setting. Case report: A 19-year-old female presented with a severe case of abdominal TB complicated by multiple high-output ECFs, severe malnutrition, and high-risk refeeding syndrome. Long-term MNT was tailored according to the patient's physiological changes to meet nutritional requirements and support recovery, alongside multiple surgical interventions and hospital admissions. Conclusion: We highlighted the importance of a multidisciplinary approach, including the underemphasized role of long-term MNT, in optimizing clinical outcomes of complicated abdominal TB, particularly within developing countries.
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