{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:13:25Z","timestamp":1791886405379,"version":"4.3.4"},"reference-count":7,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,10,21]],"date-time":"2016-10-21T00:00:00Z","timestamp":1477008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:p>A 61\u2010year\u2010old man was being treated for poor nutritional status. He had been on weekly methotrexate 6\u2009mg and daily tacrolimus 1\u2009mg and prednisolone 18\u2009mg for 8 years due to dermatomyositis. On further workup, he was initially detected to have ileocecal ulcer with subsequent development of diffuse miliary shadows on chest radiograph. He was diagnosed as having ileocecal with miliary tuberculosis (<jats:styled-content style=\"fixed-case\">TB<\/jats:styled-content>). While receiving anti\u2010tuberculous therapy, there was initial improvement of <jats:styled-content style=\"fixed-case\">TB<\/jats:styled-content>\u2010related symptoms and he had no conditions that interfered with the efficiency of the anti\u2010tuberculous therapy. However, he developed intestinal perforation. Emergency surgery for resection of the ileocecal ulcer and ileocolostomy led to improvement and he was finally discharged. Recently, cases of intestinal <jats:styled-content style=\"fixed-case\">TB<\/jats:styled-content> have been rare and perforation due to <jats:styled-content style=\"fixed-case\">TB<\/jats:styled-content> is extraordinary. In this case, paradoxical reaction and poor nutritional status may have contributed to the intestinal perforation.<\/jats:p>","DOI":"10.1002\/rcr2.196","type":"journal-article","created":{"date-parts":[[2016,10,22]],"date-time":"2016-10-22T04:00:37Z","timestamp":1477108837000},"source":"Crossref","is-referenced-by-count":10,"title":["Intestinal perforation due to paradoxical reaction during treatment for miliary tuberculosis"],"prefix":"10.1002","volume":"4","author":[{"given":"Miwako","family":"Saitou","sequence":"first","affiliation":[{"name":"Department of Infectious Disease and Pulmonary Medicine, Aizu Medical Center Fukushima Medical University  Aizuwakamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoko","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease and Pulmonary Medicine, Aizu Medical Center Fukushima Medical University  Aizuwakamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsunao","family":"Niitsuma","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease and Pulmonary Medicine, Aizu Medical Center Fukushima Medical University  Aizuwakamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,21]]},"reference":[{"issue":"6","key":"e_1_2_5_2_1","first-page":"619","article-title":"[Tuberculosis Annual Report 2012. 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