E-ISSN 2534-9821
 

Case Report 


Looking beyond a common gastroenteritis

Fabiana Costa Pimentel, Manuel Serrano Martins, Carla Henriques, Lisete Nunes.

Abstract
Tuberculosis (TB) is a potentially fatal disease that can affect virtually any organic system. Intestinal TB is an uncommon form of extrapulmonary disease, with nonspecific clinical features, which can simulate Crohn's disease (CD). The differential diagnosis between the two is difficult but extremely important since the therapeutic and prognostic approach is completely distinct. We present the case of a 58-year-old woman with complaints of abdominal pain, fever and bloody diarrhoea for 5 days. The previous history of limited episodes of abdominal pain and diarrhoea, assumed as uncomplicated recurrent gastroenteritis, for the past 1 year. Colonoscopy revealed multiple ulcerated lesions, suggestive of Crohn’s disease. Histopathology also favoured the diagnosis of CD. However, an additional Ziehl Neelson staining of the biopsies was solicited, showing the presence of Koch bacillus. Intestinal Tuberculosis was admitted and patient-initiated antituberculous therapy.
This case report evidences the importance of a high level of suspicion of intestinal TB when evaluating a patient with features favouring a CD diagnosis, once treatment based on misdiagnosis may lead to serious morbidity and mortality.

Key words: Intestinal tuberculosis, Crohn´s Disease, Inflammatory bowel disease


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Fabiana Costa Pimentel
Articles by Manuel Serrano Martins
Articles by Carla Henriques
Articles by Lisete Nunes
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Pimentel FC, Martins MS, Henriques C, Nunes L. Looking beyond a common gastroenteritis. Int J Med Rev Case Rep. 2021; 5(5): 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538


Web Style

Pimentel FC, Martins MS, Henriques C, Nunes L. Looking beyond a common gastroenteritis. http://www.mdpub.net/?mno=28342 [Access: December 31, 2021]. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538


AMA (American Medical Association) Style

Pimentel FC, Martins MS, Henriques C, Nunes L. Looking beyond a common gastroenteritis. Int J Med Rev Case Rep. 2021; 5(5): 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538



Vancouver/ICMJE Style

Pimentel FC, Martins MS, Henriques C, Nunes L. Looking beyond a common gastroenteritis. Int J Med Rev Case Rep. (2021), [cited December 31, 2021]; 5(5): 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538



Harvard Style

Pimentel, F. C., Martins, . M. S., Henriques, . C. & Nunes, . L. (2021) Looking beyond a common gastroenteritis. Int J Med Rev Case Rep, 5 (5), 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538



Turabian Style

Pimentel, Fabiana Costa, Manuel Serrano Martins, Carla Henriques, and Lisete Nunes. 2021. Looking beyond a common gastroenteritis. International Journal of Medical Reviews and Case Reports, 5 (5), 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538



Chicago Style

Pimentel, Fabiana Costa, Manuel Serrano Martins, Carla Henriques, and Lisete Nunes. "Looking beyond a common gastroenteritis." International Journal of Medical Reviews and Case Reports 5 (2021), 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538



MLA (The Modern Language Association) Style

Pimentel, Fabiana Costa, Manuel Serrano Martins, Carla Henriques, and Lisete Nunes. "Looking beyond a common gastroenteritis." International Journal of Medical Reviews and Case Reports 5.5 (2021), 53-55. Print. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538



APA (American Psychological Association) Style

Pimentel, F. C., Martins, . M. S., Henriques, . C. & Nunes, . L. (2021) Looking beyond a common gastroenteritis. International Journal of Medical Reviews and Case Reports, 5 (5), 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538