Intestinal Tuberculosis Masquerading as Crohn's Disease? A Case of Disseminated Tuberculosis after Anti-TNF Therapy for Suspected Crohn's Disease
| Autor: | James Y. Han, Alexander Abadir, Fady A. Youssef |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
History
medicine.medical_specialty Tuberculosis Polymers and Plastics Perforation (oil well) Case Report Disease INTESTINAL TUBERCULOSIS Gastroenterology Industrial and Manufacturing Engineering 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Business and International Management lcsh:RC799-869 Crohn's disease Latent tuberculosis Septic shock business.industry medicine.disease 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Anti-TNF therapy lcsh:Diseases of the digestive system. Gastroenterology business |
| Zdroj: | Case Reports in Gastrointestinal Medicine Case Reports in Gastrointestinal Medicine, Vol 2019 (2019) |
| ISSN: | 2090-6536 2090-6528 |
| Popis: | Intestinal tuberculosis (ITB) and Crohn’s disease (CD) very closely resemble each other in symptomatology, imaging, appearance, and pathology. While ITB is rare in the United States, its prevalence is significantly higher in endemic areas, thus presenting a diagnostic dilemma in immigrant populations from high-risk countries. This patient was diagnosed with CD and treated with anti-TNF agents after indeterminate screening for latent tuberculosis. He was then admitted with septic shock and intestinal perforation due to disseminated tuberculosis. This case demonstrates the importance the consideration of ITB when a patient with risk factors for TB fails to respond to treatment for CD. |
| Databáze: | OpenAIRE |
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