Carvajal Francisca, Gil Pamela, Pérez de Arce Edith, Gil Luis Carlos
Sección de Gastroenterología, Hospital Clínico Universidad de Chile, Santiago, Chile.
Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Med Chil. 2024 Jun;152(6):730-735. doi: 10.4067/s0034-98872024000600730.
Intestinal tuberculosis is a bacterial infection that represents 10% of extrapulmonary tuberculosis. It is known as the great mimicker due to its clinical presentation similar to other diseases such as Crohn's Disease or Neoplastic Intestinal Disease. Its diagnosis is complex, given the paucibacillary characteristic of the disease. We present the case of a 57-year-old patient with an initial diagnosis of Crohn's Disease, starting immunosuppressive therapy. After no response to the initial therapy and with a new endoscopic and anatomopathological study, Intestinal Tuberculosis was concluded, which after starting therapy evolved favorably.
肠结核是一种细菌感染性疾病，占肺外结核的10%。由于其临床表现与克罗恩病或肠道肿瘤性疾病等其他疾病相似，它被称为“超级模仿者”。鉴于该疾病的少菌特征，其诊断较为复杂。我们报告一例57岁患者，最初诊断为克罗恩病并开始免疫抑制治疗。在对初始治疗无反应且进行了新的内镜及解剖病理学检查后，确诊为肠结核，开始治疗后病情进展良好。
