Gastrointestinal Tuberculosis Mimicking Crohns Disease
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000400010 |
Resumo: | We present the case of a 24-year-old woman with complaints of abdominal pain, bloody diarrhea, and weight loss for 3 months. An outpatient colonoscopy revealed scattered ulcers, suggestive of Crohns disease (CD). Histopathology also favored the diagnosis of CD. However, after admission to our hospital for further investigation, a chest radiograph revealed pulmonary cavitations. A computed tomography scan suggested the diagnosis of active pulmonary tuberculosis (TB). Therefore, a bronchofibroscopy, a total colonoscopy with ileoscopy, and an upper endoscopy were performed. Not only were acid-fast bacilli present in both bronchoalveolar lavage fluid and gastric juice, but also in colonic biopsies. A complete resolution of gastrointestinal symptoms was achieved 2 weeks after starting anti-TB drugs. |
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Gastrointestinal Tuberculosis Mimicking Crohns DiseaseGastrointestinal tuberculosisCrohns diseaseInflammatory bowel diseaseWe present the case of a 24-year-old woman with complaints of abdominal pain, bloody diarrhea, and weight loss for 3 months. An outpatient colonoscopy revealed scattered ulcers, suggestive of Crohns disease (CD). Histopathology also favored the diagnosis of CD. However, after admission to our hospital for further investigation, a chest radiograph revealed pulmonary cavitations. A computed tomography scan suggested the diagnosis of active pulmonary tuberculosis (TB). Therefore, a bronchofibroscopy, a total colonoscopy with ileoscopy, and an upper endoscopy were performed. Not only were acid-fast bacilli present in both bronchoalveolar lavage fluid and gastric juice, but also in colonic biopsies. A complete resolution of gastrointestinal symptoms was achieved 2 weeks after starting anti-TB drugs.Sociedade Portuguesa de Gastrenterologia2020-08-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000400010GE-Portuguese Journal of Gastroenterology v.27 n.4 2020reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000400010Rafael,Maria AnaFigueiredo,Luísa MartinsOliveira,Ana MariaCosta,Mariana NunoManso,Rita TheiasMartins,Alexandrainfo:eu-repo/semantics/openAccess2024-02-06T17:34:06Zoai:scielo:S2341-45452020000400010Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:36:12.208711Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Gastrointestinal Tuberculosis Mimicking Crohns Disease |
title |
Gastrointestinal Tuberculosis Mimicking Crohns Disease |
spellingShingle |
Gastrointestinal Tuberculosis Mimicking Crohns Disease Rafael,Maria Ana Gastrointestinal tuberculosis Crohns disease Inflammatory bowel disease |
title_short |
Gastrointestinal Tuberculosis Mimicking Crohns Disease |
title_full |
Gastrointestinal Tuberculosis Mimicking Crohns Disease |
title_fullStr |
Gastrointestinal Tuberculosis Mimicking Crohns Disease |
title_full_unstemmed |
Gastrointestinal Tuberculosis Mimicking Crohns Disease |
title_sort |
Gastrointestinal Tuberculosis Mimicking Crohns Disease |
author |
Rafael,Maria Ana |
author_facet |
Rafael,Maria Ana Figueiredo,Luísa Martins Oliveira,Ana Maria Costa,Mariana Nuno Manso,Rita Theias Martins,Alexandra |
author_role |
author |
author2 |
Figueiredo,Luísa Martins Oliveira,Ana Maria Costa,Mariana Nuno Manso,Rita Theias Martins,Alexandra |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Rafael,Maria Ana Figueiredo,Luísa Martins Oliveira,Ana Maria Costa,Mariana Nuno Manso,Rita Theias Martins,Alexandra |
dc.subject.por.fl_str_mv |
Gastrointestinal tuberculosis Crohns disease Inflammatory bowel disease |
topic |
Gastrointestinal tuberculosis Crohns disease Inflammatory bowel disease |
description |
We present the case of a 24-year-old woman with complaints of abdominal pain, bloody diarrhea, and weight loss for 3 months. An outpatient colonoscopy revealed scattered ulcers, suggestive of Crohns disease (CD). Histopathology also favored the diagnosis of CD. However, after admission to our hospital for further investigation, a chest radiograph revealed pulmonary cavitations. A computed tomography scan suggested the diagnosis of active pulmonary tuberculosis (TB). Therefore, a bronchofibroscopy, a total colonoscopy with ileoscopy, and an upper endoscopy were performed. Not only were acid-fast bacilli present in both bronchoalveolar lavage fluid and gastric juice, but also in colonic biopsies. A complete resolution of gastrointestinal symptoms was achieved 2 weeks after starting anti-TB drugs. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000400010 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000400010 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000400010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
GE-Portuguese Journal of Gastroenterology v.27 n.4 2020 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137414209339392 |