Chatzicostas Constantinos, Koutroubakis Ioannis E, Tzardi Maria, Roussomoustakaki Maria, Prassopoulos Panagiotis, Kouroumalis Elias A
Department of Gastroenterology, University Hospital Heraklion, Crete, Greece.
BMC Gastroenterol. 2002 May 13;2:10. doi: 10.1186/1471-230x-2-10.
Intestinal tuberculosis is a rare disease in western countries, affecting mainly immigrants and immunocompromised patients. Intestinal tuberculosis is a diagnostic challenge, especially when active pulmonary infection is absent. It may mimic many other abdominal diseases.
Here, we report a case of isolated colonic tuberculosis where the initial diagnostic workup was suggestive of Crohn's disease. Computed tomography findings however, raised the possibility of colonic tuberculosis and the detection of acid-fast bacilli in biopsy specimens confirmed the diagnosis.
In conclusion, this case highlights the need for awareness of intestinal tuberculosis in the differential diagnosis of chronic intestinal disease
肠结核在西方国家是一种罕见疾病,主要影响移民和免疫功能低下的患者。肠结核是一项诊断挑战,尤其是在无活动性肺部感染的情况下。它可能会模仿许多其他腹部疾病。
在此,我们报告一例孤立性结肠结核病例,其初始诊断检查提示克罗恩病。然而,计算机断层扫描结果增加了结肠结核的可能性,活检标本中抗酸杆菌的检测证实了诊断。
总之,该病例凸显了在慢性肠道疾病的鉴别诊断中认识肠结核的必要性。