Home|Journals|Articles by Year|Audio Abstracts

Case Report

Looking beyond a common gastroenteritis

Fabiana Costa Pimentel, Manuel Serrano Martins, Carla Henriques, Lisete Nunes.

Cited by 0 Articles

Tuberculosis (TB) is a potentially fatal disease that can affect virtually any organic system. Intestinal TB is an uncommon form of extrapulmonary disease, with nonspecific clinical features, which can simulate Crohn's disease (CD). The differential diagnosis between the two is difficult but extremely important since the therapeutic and prognostic approach is completely distinct. We present the case of a 58-year-old woman with complaints of abdominal pain, fever and bloody diarrhoea for 5 days. The previous history of limited episodes of abdominal pain and diarrhoea, assumed as uncomplicated recurrent gastroenteritis, for the past 1 year. Colonoscopy revealed multiple ulcerated lesions, suggestive of Crohn’s disease. Histopathology also favoured the diagnosis of CD. However, an additional Ziehl Neelson staining of the biopsies was solicited, showing the presence of Koch bacillus. Intestinal Tuberculosis was admitted and patient-initiated antituberculous therapy.
This case report evidences the importance of a high level of suspicion of intestinal TB when evaluating a patient with features favouring a CD diagnosis, once treatment based on misdiagnosis may lead to serious morbidity and mortality.

Key words: Intestinal tuberculosis, Crohn´s Disease, Inflammatory bowel disease

Full-text options

Share this Article

Online Article Submission
• ejmanager.com

ejPort - eJManager.com
Refer & Earn
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.