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[Ileocecal tuberculosis. Apropos of 27 cases]
M Mounadif1, W Badre, F Elamraoui
1Service de Gastroentérologie et Proctologie A, CHU Ibn Rochd, Casablanca, Moroc.
Annales De Gastroenterologie Et D'Hepatologie
|May 1, 1995
Summary
Ileo-caecal tuberculosis is common in Morocco, presenting with non-specific symptoms. Early diagnosis and medical treatment lead to positive outcomes, even with challenging diagnostics.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Public Health
Context:
- Ileo-caecal tuberculosis remains prevalent in Morocco, impacting individuals despite BCG vaccination efforts.
- The study reviewed 27 cases over a decade, highlighting demographic data and common clinical presentations.
Purpose:
- To analyze the diagnostic challenges and treatment outcomes of ileo-caecal tuberculosis in an endemic region.
- To emphasize the role of colonoscopy and histopathology in diagnosis and management.
Summary:
- Diarrhea, abdominal pain, and general deterioration are key indicators, though not specific for tuberculosis.
- Diagnostic difficulties arise from negative Mycobacterium tuberculosis hominis tests, necessitating imaging and endoscopic evaluation.
- Narrowing in the ileum or colon, especially in endemic areas, suggests tuberculosis; colonoscopy aids significantly in diagnosis.
Impact:
- Colonoscopy and histopathology are crucial for differentiating tuberculosis from cancer, enabling prompt antibacterial treatment.
- Medical management of ileo-caecal tuberculosis generally yields positive results, with clinical improvement and negative bacteriology confirming cure.