Gastrointestinal Tuberculosis mimicking Crohn’s Disease. Case report and review of the literature

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2007 (EN)
Gastrointestinal Tuberculosis mimicking Crohn’s Disease. Case report and review of the literature (EN)

Dimakopoulos, D. Saltas, V. Penopoulos1, T. Maris, P. Hristaki2, G. Kokozidis, G. Kitis, K.

Although in recent years there has been a rise in Gastrointestinal Tuberculosis (GITB) incidence among immigrants and HIV patients, both in Europe and United States, the diagnosis is usually overlooked due to lack of experience and the similarity of the disease with other entities such as Crohn’s disease, ileocecal lymphoma and peri-appendiceal abscess. The peritoneum and the ileocecal region are the most likely sites of infection. The transmission in the majority of cases is by hematogenous spread or through the swallowing of infected sputum from patients with primary pulmonary tuberculosis. Pulmonary tuberculosis is evident in less than half of patients. A case of a 26 year old woman who was admitted to this department for an abdominal abscess and prolonged fever is reported. Physical examination, laboratory studies, and imaging findings were suggestive of Crohn’s disease. However treatment with steroids and azathioprine led to clinical deterioration and the patient underwent ileocolic resection. Abscess fluid culture and polymerase chain reaction (PCR) assay of histological specimens demonstrated the presence of mycobacterium tuberculosis and established the diagnosis of GITB. The patient is now well under standard anti-Tb therapy. Key words: Gastrointestinal tuberculosis, abdominal abscess, prolonged fever. (EN)




Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 18, No 1 (2005) (EN)

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