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Intestinal tuberculosis: a diagnostic challenge--case report and review of the literature.

TitleIntestinal tuberculosis: a diagnostic challenge--case report and review of the literature.
Publication TypeJournal Article
Year of Publication2011
AuthorsGiouleme, O., Paschos P., Katsaros M., Papalexi F., Karabatsou S., Masmanidou M., & Koliouskas D.
JournalEur J Gastroenterol Hepatol
Volume23
Issue11
Pagination1074-7
Date Published2011 Nov
ISSN1473-5687
KeywordsAdult, Antitubercular Agents, Biopsy, Colon, Colonoscopy, Diagnosis, Differential, Female, Follow-Up Studies, Gastric Mucosa, Humans, Immunocompetence, Intestinal Mucosa, Tuberculosis, Gastrointestinal
Abstract

Even though tuberculosis is considered rare in developed countries, its rising incidence, especially in high-risk populations, places intestinal tuberculosis in the differential diagnosis of patients with atypical abdominal symptoms or signs. We, herein, report the case of an immunocompetent woman, from a nonendemic area, who developed intestinal tuberculosis, emphasizing the diagnostic challenges caused due to nonspecific symptoms, inconclusive clinical, laboratory, and imaging findings, which could not rule in or rule out tuberculosis. Antituberculosis treatment was administered based on endoscopic findings and histological features of mucosal biopsies, which were indicative of intestinal tuberculosis, and the patient showed a marked clinical and laboratory improvement. We also review the evidence with regard to the diagnostic accuracy of the different available tests for intestinal tuberculosis.

DOI10.1097/MEG.0b013e32834a9470
Alternate JournalEur J Gastroenterol Hepatol
PubMed ID21849904

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