Title |
Intestinal tuberculosis masquerading as difficult to treat Crohn disease: a case report
|
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Published in |
BMC Research Notes, August 2016
|
DOI | 10.1186/s13104-016-2222-0 |
Pubmed ID | |
Authors |
Madunil A. Niriella, S. Kuleesha Kodisinghe, Arjuna P. De Silva, Janaki Hewavisenthi, Hithanadura J. de Silva |
Abstract |
Crohn disease has low prevalence in Sri Lanka while compared to the West, while intestinal tuberculosis is common in the region. Since clinical, endoscopic and investigation features of Crohn disease overlap with intestinal tuberculosis, differentiating these two conditions becomes a dilemma for the clinician in the intestinal tuberculosis endemic setting. An 18-year old Sri Lankan Muslim female presented with chronic abdominal pain and weight loss. Colonoscopy revealed an ulcerated ileocaecal valve and a terminal ileal stricture. Biopsy confirmed Crohn disease with no supportive features to suggest intestinal tuberculosis. Despite treatment with adequate immunosuppression she failed to improve and underwent a limited right hemicolectomy and terminal ileal resection. Histology confirmed intestinal tuberculosis and she made full recover with 6 months of anti-tuberculosis treatment. This case illustrates the importance of reviewing the diagnosis to include intestinal tuberculosis in an endemic setting, when already diagnosed Crohn disease is treatment refractory. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 20 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 3 | 15% |
Researcher | 2 | 10% |
Student > Doctoral Student | 2 | 10% |
Student > Master | 2 | 10% |
Other | 1 | 5% |
Other | 5 | 25% |
Unknown | 5 | 25% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 10 | 50% |
Nursing and Health Professions | 1 | 5% |
Biochemistry, Genetics and Molecular Biology | 1 | 5% |
Social Sciences | 1 | 5% |
Immunology and Microbiology | 1 | 5% |
Other | 0 | 0% |
Unknown | 6 | 30% |