[Clinical differentiation between intestinal tuberculosis and morbus Crohn].

We describe a case of intestinal tuberculosis in a 34-year-old Indonesian woman. She presented with diarrhoea, weight loss, fever and night sweat over a period of weeks. She underwent colonoscopy which showed a major cobblestone pattern like necrosis in part of the colon. An MR scan showed oedema involving the small intestine near the ileocoecal area and abdominal lymphadenopathy. Because of the patient history of recent TB exposure, ethnicity and positive T-SPOT-TB, she was given a course of four-drug tuberculosis treatment and responded quickly. Later on Mycobacterium tuberculosis was found in faeces culture.