Diagnostic challenge between Crohn's disease and intestinal tuberculosis in chronic diarrhea with ulcerated jejunal stenosis: a case report

Autores/as

  • Valeria Costa-Barney Universidad Javeriana
  • Andrés F. Delgado-Villarreal Universidad Javeriana
  • Ana María Leguízamo Universidad Javeriana
  • Rómulo Darío Vargas Universidad Javeriana

DOI:

https://doi.org/10.47892/rgp.2020.404.1174

Palabras clave:

Diarrhea, Tuberculosi, gastrointestinal, Crohn disease, Stenosis, Single-Balloon Enteroscopy

Resumen

Intestinal tuberculosis and Crohn's disease are a diagnostic challenge because of the clinical, radiological and endoscopic similarity. The histological and microbiological findings are positive in less than 50%, which delays the correct treatment, putting the patient at risk. We reported a 34-year-old immunocompetent patient with 4 years of malabsorptive diarrhea, weight loss, nocturnal diaphoresis, abdominal pain and an ulcer with stenosis in the jejunum was found; she mpirical antituberculosis treatment with clinical improvement. Later the culture was positive for M. tuberculosis.

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Publicado

31.12.2020

Cómo citar

1.
Costa-Barney V, Delgado-Villarreal AF, María Leguízamo A, Darío Vargas R. Diagnostic challenge between Crohn’s disease and intestinal tuberculosis in chronic diarrhea with ulcerated jejunal stenosis: a case report. Rev Gastroenterol Peru [nternet]. 31 de diciembre de 2020 [citado 23 de noviembre de 2024];40(4):346-50. isponible en: https://revistagastroperu.com/index.php/rgp/article/view/1174

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