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Gastrointestinal Tuberculosis Mimicking Crohn's Disease
Maria Ana Rafael1, Luísa Martins Figueiredo1, Ana Maria Oliveira1
1Gastroenterology Department, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal.
GE Portuguese Journal of Gastroenterology
|August 11, 2020
Summary
A young woman
Area of Science:
- Gastroenterology
- Infectious Diseases
- Pulmonology
Background:
- Crohn's disease (CD) is a chronic inflammatory bowel disease.
- Tuberculosis (TB) is an infectious disease often affecting the lungs.
- Differentiating CD and TB can be challenging due to overlapping symptoms.
Observation:
- A 24-year-old woman presented with gastrointestinal symptoms mimicking Crohn's disease.
- Pulmonary cavitations were detected on chest imaging.
- Acid-fast bacilli were identified in respiratory, gastric, and colonic samples.
Findings:
- The patient was diagnosed with disseminated tuberculosis presenting with gastrointestinal manifestations.
- Histopathology initially suggested Crohn's disease, highlighting diagnostic challenges.
- Anti-TB treatment led to rapid resolution of all symptoms.
Implications:
- This case underscores the importance of considering tuberculosis in patients with inflammatory bowel disease-like symptoms, especially with pulmonary involvement.
- Disseminated TB can mimic Crohn's disease, necessitating thorough microbiological investigation.
- Early diagnosis and treatment of TB are crucial for favorable outcomes in gastrointestinal manifestations.
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