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

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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-...

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Detalles Bibliográficos
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
Descripción
Sumario: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.
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