Important Pathology In The Differential Diagnosis of Crohn's Disease: Tuberculosis Ileocolitis

Year 2019, Volume: 1 Issue: 3, 105 - 107, 31.12.2019

Uğur Ergün , Gülhan Zorgör Uçdu , Ahmet Ürk , Merve Nur Ak , Erkan Çağlar

Abstract

Tuberculosis is an infectious disease that is
the one of the common causes of morbidity and mortality in developing
countries. It has two forms as primary and secondary. The secondary form is
quite rare and should be considered in differential diagnosis of some other
diseases (1).Especially, intestinal tuberculosis (ITB) can be difficult to
distinguish from Crohn’s Disease which is an inflammatory bowel disease. ITB is
a disease that can affect gastrointestinal system and histopathologically
characterized by caseating granulomas. Clinical suspicion has a primary
importance in diagnosis. Early diagnosis is crucial for better prognosis and
lower rates of relapses.

A 38 year old female patient who had
ileocolitis revealed by colonoscopy, was hospitalized for abdominal
non-spesific symptoms with Crohn’s pre-diagnosis. After clinical examination she
was diagnosed with ITB and systemic medical anti tuberculosis therapy was
initiated. Regression of symptoms and signs strengthened our diagnosis. We
present a case emphasizing that ITB should be considered in differential
diagnosis of other causes of ileocolitis, specially Crohn’s disease.

Keywords

Crohn’s, ileocolitis, intestinal tuberculosis

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