Sclerosing encapsulating peritonitis and intra-abdominal fistulas secondary to <i>Mycobacterium bovis</i> from remote consumption of unpasteurized cow’s milk
Bibliographic record
Abstract
Mycobacterium bovis tuberculosis acquired in Canada is extremely rare, thanks to eradication and surveillance programs as well as to milk pasteurization practices initiated in the early twentieth century. This case report presents a case of abdominal tuberculosis in a 69-year-old Canadian-born white man presumed to be secondary to consumption of unpasteurized cow’s milk in childhood. He initially presented with non-specific abdominal symptoms and underwent extensive work-up, including CT-guided biopsy, which failed to elucidate the diagnosis. After multiple hospitalizations, he underwent exploratory laparotomy with peritoneal biopsy, from which M. bovis was cultured. Diagnosis of abdominal tuberculosis is notoriously challenging because of its long latency period and the non-specific nature of presenting symptoms. In addition, imaging similarities between abdominal tuberculosis and neoplastic processes can cause further confusion. This case highlights the diagnostic challenges of this disease while illustrating the importance of a thorough history, particularly in the context of a difficult diagnosis.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".