Diagnostic challenge between Crohn's disease and intestinal tuberculosis in chronic diarrhea with ulcerated jejunal stenosis: a case report

• Autores: Costa-Barney, Valeria, Delgado-Villarreal, Andrés F., María Leguízamo, Ana, Darío Vargas, Rómulo
• Formato: artículo
• Fecha de Publicación: 2020
• Institución: Sociedad de Gastroenterología del Perú
• Repositorio: Revista de Gastroenterología del Perú
• Lenguaje: español
• OAI Identifier: oai:ojs.revistagastroperu.com:article/1174
• Enlace del recurso: http://www.revistagastroperu.com/index.php/rgp/article/view/1174
• Nivel de acceso: acceso abierto
• Materia: Diarrhea; Tuberculosi; gastrointestinal; Crohn disease; Stenosis; Single-Balloon Enteroscopy

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 mpirical antituberculosis treatment with clinical improvement. Later the culture was positive for M. tuberculosis.