Tuberculous colitis mimicking Crohn's disease

Détails

ID Serval
serval:BIB_D1E91AC24C9B
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Tuberculous colitis mimicking Crohn's disease
Périodique
American Journal of Gastroenterology
Auteur(s)
Arnold  C., Moradpour  D., Blum  H. E.
ISSN
0002-9270 (Print)
Statut éditorial
Publié
Date de publication
11/1998
Volume
93
Numéro
11
Pages
2294-6
Notes
Case Reports
Journal Article --- Old month value: Nov
Résumé
Intestinal tuberculosis is a rare disease in western countries and may mimic a variety of gastrointestinal disorders. Here, we report the case of a 63-yr-old patient who presented with profuse bleeding from a deep rectal ulcer. Similar lesions were found in different parts of the colon. Multilocular colorectal carcinoma was suspected based on the macroscopic appearance. Histology, however, suggested Crohn's disease. Intestinal tuberculosis was initially ruled out by negative staining for acid-fast bacilli, mycobacterial culture, and polymerase chain reaction analysis. A treatment for Crohn's disease was started. Endoscopic reexamination revealed progressive disease with extensive ulcerations of the terminal ileum. Histopathological examination then revealed acid-fast bacilli in the colonic mucosa typical for mycobacterium tuberculosis infection. This case emphasizes the need to include intestinal tuberculosis in the initial differential diagnosis of ulcerative colorectal lesions also in the western population.
Mots-clé
Colitis/*diagnosis Crohn Disease/*diagnosis Diagnosis, Differential Female Humans Middle Aged Tuberculosis, Gastrointestinal/*diagnosis
Pubmed
Web of science
Création de la notice
25/01/2008 16:05
Dernière modification de la notice
20/08/2019 15:52
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