Intestinal tuberculosis can masquerade as Crohn's disease: A teachable moment

被引：0
作者：
Pooja, K. C. [1 ]
Bhattarai, Madhur [2 ,6 ]
Adhikari, Subodh [2 ]
Parajuli, Prakriti [1 ]
Bhandari, Sujata [3 ]
Bhattarai, Himal Bikram [1 ]
Sharma, Niraj Kumar [2 ]
Karki, Shailendra [4 ]
Acharya, Suryakiran [1 ]
Basnet, Bibhusan [5 ]
机构：
[1] Gandaki Med Coll Teaching Hosp & Res Ctr, Pokhara, Nepal
[2] Tribhuvan Univ, Inst Med, Kathmandu, Nepal
[3] Nobel Med Coll Teaching Hosp, Biratnagar, Nepal
[4] Teaching Hosp, Kathmandu Med Coll, Kathmandu, Nepal
[5] BP Koirala Inst Hlth Sci, Dharan, Nepal
[6] Tribhuvan Univ, Inst Med, Kathmandu 44600, Nepal
来源：
SAGE OPEN MEDICAL CASE REPORTS | 2023年 / 11卷
关键词：
Crohn's disease; intestinal tuberculosis; colonoscopy; acid-fast bacilli; DIAGNOSIS; COLITIS;
D O I：
10.1177/2050313X231184342
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Intestinal tuberculosis and Crohn's disease are chronic granulomatous diseases with similar clinical presentations and can mimic one another. Their treatment modalities are completely different; however, sometimes it is challenging to differentiate them. We report a case of a 51-year-old female presenting with abdominal pain and on-and-off diarrhea for 4 years with weight loss. Clinical symptoms along with multiple aphthous ulcers in the terminal ileum and negative tuberculin test favored the diagnosis of Crohn's disease. The patient did not respond to steroids. A repeat colonoscopy with acid-fast bacilli stain showed Mycobacterium tuberculosis. This case highlights that acid-fast bacilli culture and tuberculosis polymerase chain reaction to confirm or rule out the diagnosis of intestinal tuberculosis in all patients suspected of Crohn's disease.
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页数：4
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