Sharma Shriya, Sherpa Pasang, Giri Ganesh
Mayo Clinic, Jacksonville, Florida, USA.
JNMA J Nepal Med Assoc. 2024 Mar 31;62(272):275-278. doi: 10.31729/jnma.8534.
In Southeast Asia, the higher prevalence of Intestinal tuberculosis (TB) challenges the diagnosis of Crohn's disease (CD) due to their overlapping symptoms. This case involves a 25-year-old male misdiagnosed with Intestinal tuberculosis presenting with abdominal pain, weight loss, and bowel ulceration. Recurrence after anti-tubercular therapy led to further investigation paving to right hemicolectomy and histopathological analysis confirming Crohn's disease. This case highlights the complexity of the diagnosis of Crohn's disease in tuberculosis-prevalent areas, stressing the clinical importance, advanced diagnostics tools, and multidisciplinary approach for effective intervention.
在东南亚，由于肠结核（TB）和克罗恩病（CD）症状重叠，肠结核的较高患病率给克罗恩病的诊断带来了挑战。该病例为一名25岁男性，最初被误诊为肠结核，表现为腹痛、体重减轻和肠道溃疡。抗结核治疗后复发促使进一步检查，最终进行了右半结肠切除术，组织病理学分析确诊为克罗恩病。该病例凸显了在结核病高发地区诊断克罗恩病的复杂性，强调了有效干预所需的临床重要性、先进诊断工具和多学科方法。
