Division of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine, Japan.
Intern Med. 2024 Sep 1;63(17):2391-2397. doi: 10.2169/internalmedicine.3093-23. Epub 2024 Feb 1.
The misdiagnosis of intestinal tuberculosis (ITB), such as Crohn's disease (CD), and subsequent treatment with immunosuppressive therapies can lead to severe outcomes. However, the differential diagnosis between these two conditions can be challenging. We herein report a patient from Myanmar who was initially diagnosed with CD due to the presence of non-caseating granulomas. The patient's symptoms were aggravated with steroid treatment, eventually leading to a diagnosis of ITB. In the international medical community, we encounter patients from countries, such as Myanmar, where tuberculosis is endemic. Therefore, it is necessary to understand the epidemiological background of each country to accurately distinguish between CD and ITB.
肠结核(ITB)的误诊,例如克罗恩病(CD),以及随后使用免疫抑制疗法进行治疗可能会导致严重后果。然而,这两种疾病的鉴别诊断可能具有挑战性。我们在此报告一名来自缅甸的患者,由于存在非干酪性肉芽肿,最初被诊断为 CD。患者的症状在类固醇治疗后加重,最终被诊断为 ITB。在国际医学界,我们会遇到来自结核病流行的国家(如缅甸)的患者。因此,了解每个国家的流行病学背景对于准确区分 CD 和 ITB 是必要的。