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Diagnostic challenge between Crohn's disease and intestinal tuberculosis in chronic diarrhea with ulcerated jejunal stenosis: a case report.
Costa-Barney, Valeria; Delgado-Villarreal, Andrés F; Leguízamo, Ana María; Vargas, Rómulo Darío.
Afiliação
  • Costa-Barney V; Department of Internal Medicine, Section of Gastroenterology and Endoscopy, Universidad Javeriana. Bogotá, Colombia; Gastroenterology and Endoscopy Unit, Hospital Universitario San Ignacio. Bogotá, Colombia.
  • Delgado-Villarreal AF; Department of Internal Medicine, Section of Gastroenterology and Endoscopy, Universidad Javeriana. Bogotá, Colombia; Gastroenterology and Endoscopy Unit, Hospital Universitario San Ignacio. Bogotá, Colombia.
  • Leguízamo AM; Department of Internal Medicine, Section of Gastroenterology and Endoscopy, Universidad Javeriana. Bogotá, Colombia; Gastroenterology and Endoscopy Unit, Hospital Universitario San Ignacio. Bogotá, Colombia.
  • Vargas RD; Department of Internal Medicine, Section of Gastroenterology and Endoscopy, Universidad Javeriana. Bogotá, Colombia; Gastroenterology and Endoscopy Unit, Hospital Universitario San Ignacio. Bogotá, Colombia.
Rev Gastroenterol Peru ; 40(4): 346-350, 2020.
Article em En | MEDLINE | ID: mdl-34087925
Intestinal tuberculosis and Crohn's disease are a diagnostic challenge because of the clinical, radiological and endoscopic similarity. The histological and microbiological findings are positive in less than 50%, which delays the correct treatment, putting the patient at risk. We reported a 34-year-old immunocompetent patient with 4 years of malabsorptive diarrhea, weight loss, nocturnal diaphoresis, abdominal pain and an ulcer with stenosis in the jejunum was found; she received empirical anti- tuberculosis treatment with clinical improvement. Later the culture was positive for M. tuberculosis.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tuberculose Gastrointestinal / Doença de Crohn Tipo de estudo: Diagnostic_studies Limite: Adult / Female / Humans Idioma: En Revista: Rev Gastroenterol Peru Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Peru
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tuberculose Gastrointestinal / Doença de Crohn Tipo de estudo: Diagnostic_studies Limite: Adult / Female / Humans Idioma: En Revista: Rev Gastroenterol Peru Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Peru