IS IT TUBERCULOSIS OR CROHN’S DISEASE?

Authors

  • Iqtadar Seerat Pakistan kidney and liver institute & research centre, Lahore, Pakistan
  • Memona Rafiq Pakistan kidney and liver institute & research centre, Lahore, Pakistan

Abstract

Tuberculosis is very prevalent in countries like Pakistan. It can be a diagnostic challenge when it has extra pulmonary organ involvement. Variation in clinical signs and symptoms, lack of access to a specialist and limited financial resources often result in delayed diagnosis. This leads to an increase in overall morbidity and mortality. We are presenting a case of disseminated tuberculosis with predominant intestinal symptoms in an eleven years old boy. He remained undiagnosed for several years despite frequent visits to multiple general practitioners. After appropriate investigations and initiation of treatment for tuberculosis, he showed an excellent recovery.Keywords: Ileo-colonoscopy; Tuberculosis; Crohn’s Disease; Circumferential Ulcers

Author Biographies

Iqtadar Seerat, Pakistan kidney and liver institute & research centre, Lahore, Pakistan

Consultant and Head of Department of Paediatric Gastroenterology & Hepatology

Memona Rafiq, Pakistan kidney and liver institute & research centre, Lahore, Pakistan

Medical officer, Deparment of Paediatric Gastroenterology & Hepatology

References

Tabrah FL. Koch's Postulates, Carnivorous Cows, and Tuberculosis Today. Hawaii Med J 2011;70(7):144–8.

Awais M, Ahmad R, Jan F, Anwar B, Rehman R, Mujtaba G, et al. Prevalence and detection of drug-resistant tuberculosis in Hazara Division, Pakistan. Acad J Biotechnol 2018;6(9):116–23.

Chandir S, Hussain H, Salahuddin N, Amir M, Ali F, Lotia I, et al. Extrapulmonary Tuberculosis: A retrospective review of 194 cases at a tertiary care hospital in Karachi, Pakistan. J Pak Med Assoc 2010;60(2):105–9.

Acharya SK, Tandon BN. Abdominal Tuberculosis. In: Watters D, Kiire C, editors. Gastroenterology in the Tropics and Subtropics: A Practical Approach. 10th ed. London and Basingstoke: Macmillan Education, 2005; p.85–102.

Sharma R, Madhusudhan KS, Ahuja V. Intestinal tuberculosis versus crohn's disease: Clinical and radiological recommendations. Indian J Radiol Imaging 2016;26(2):161–72.

Kedia S, Dsa P, Madhusudhan KS, Dattagupta S, Sharma R, Sahni P, et al. Differentiating Crohn’s disease from intestinal tuberculosis. World J Gastroenterol 2019;25(4):418–32.

Anand BS. Distinguishing Crohn's disease from intestinal tuberculosis. Natl Med J India 1989;2(4):170–5.

Yu SM, Park JH, Kim MD, Lee HR, Jung P, Ryu TH, et al. A Case of Sigmoid Colon Tuberculosis Mimicking Colon Cancer. J Korean Soc Coloproctol 2012;28(5):275–7.

Feldman M, Friedman LS, Brandt LJ. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, 10th ed. United States of America: Elsevier Health Sciences; 2015.

Das K, Ghoshal UC, Dhali GK, Benjamin J, Ahuja V, Makharia GK. Crohn's disease in India: a multicenter study from a country where tuberculosis is endemic. Dig Dis Sci 2009;54(5):1099–1107.

Lai CC, Lee MT G, Lee SH, Lee SH, Chang SS, Lee CC. Risk of incident active tuberculosis and use of corticosteroids. Int J Tuberc Lung Dis 2015;19(8):936–42.

Published

2020-09-23

Issue

Vol. 32 No. 4 (2020): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

CASE REPORT

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.

Most read articles by the same author(s)