Significance of Epidemiological Background in Preventing the Misdiagnosis of Intestinal Tuberculosis as Crohn's Disease

The misdiagnosis of intestinal tuberculosis (ITB), such as Crohn's disease (CD), and subsequent treatment with immunosuppressive therapies can lead to severe outcomes. However, the differential diagnosis between these two conditions can be challenging. We herein report a patient from Myanmar wh...

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Bibliographic Details
Published in:Internal Medicine 2024/09/01, Vol.63(17), pp.2391-2397
Main Authors: Kaneko, Motoki, Matsushima, Masashi, Ueda, Takashi, Sato, Hirohiko, Sano, Masaya, Teramura, Erika, Fujisawa, Mia, Suzuki, Hidekazu
Format: Article
Language:English
Subjects:
Case Report
Crohn's disease
Differential diagnosis
Epidemiology
Immunosuppressive agents
immunosuppressive therapy
intestinal tuberculosis
Intestine
Medical treatment
Patients
steroids
Tuberculosis
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Summary:The misdiagnosis of intestinal tuberculosis (ITB), such as Crohn's disease (CD), and subsequent treatment with immunosuppressive therapies can lead to severe outcomes. However, the differential diagnosis between these two conditions can be challenging. We herein report a patient from Myanmar who was initially diagnosed with CD due to the presence of non-caseating granulomas. The patient's symptoms were aggravated with steroid treatment, eventually leading to a diagnosis of ITB. In the international medical community, we encounter patients from countries, such as Myanmar, where tuberculosis is endemic. Therefore, it is necessary to understand the epidemiological background of each country to accurately distinguish between CD and ITB.
ISSN:0918-2918
1349-7235
1349-7235
DOI:10.2169/internalmedicine.3093-23