Acta Scientific Gastrointestinal Disorders (ISSN: 2582-1091)

Case ReportVolume 4 Issue 10

Misdiagnosis of Intestinal Tuberculosis as Crohn’s Disease: A Case Report and Literature Review of Parametric Predictive Models

Moussaoui Safa1*, M Zakhama1, M Moussaoui2, A Guediche1, I Jemni1, N Ben Chaabène1 and L Safer1

1Gastroenterology Department, CHU Monastir, Tunisia
2Radiology Department, CHU Monastir, Tunisia

*Corresponding Author: Moussaoui Safa, Gastroenterology Department, CHU Monastir, Tunisia.

Received: September 01, 2021; Published: September 20, 2021

Citation: Carlos Henrique Rodrigues Castro., et al. “Inflammatory Bowel Disease in the Elderly in the Context of COVID-19. What do we know so?". Acta Scientific Gastrointestinal Disorders 4.10 (2021): 17-19.

Abstract

  In recent years, the incidence of Crohn's disease (CD) has been increasing worldwide, especially in areas where tuberculosis (TB) is prevalent. Due to similar manifestations, distinguishing between Crohn’s disease (CD) and intestinal tuberculosis (ITB) is quite challenging.

 Herein, we report the case of a 25-year-old man who presented with recurrent partial bowel obstruction, whose initial diagnostic work-up suggested stenosing Crohn disease 3 years ago. He had been previously treated with mesalazine and corticosteroids. After undergoing surgical treatment, histopathological findings revealed the diagnoses of intestinal tuberculosis instead.

 We combined our case report with parametric predictive models reviewed in the literature to evaluate their diagnostic accuracy for our case. We found that using these models could lead to a better differentiation between these two entities.

Keywords: Crohn's Disease (CD); Tuberculosis (TB); Intestinal Tuberculosis (ITB)

Bibliography

  1. Kedia S., et al. “Differentiating Crohn’s disease from intestinal tuberculosis”. World Journal of Gastroenterology 25 (2019): 418-432.
  2. Lee YJ., et al. “Analysis of colonoscopic findings in the differential diagnosis between intestinal tuberculosis and Crohn’s disease”. Endoscopy6 (2021): 592-597.
  3. Wei JP., et al. “Misdiagnosis and mistherapy of Crohn’s disease as intestinal tuberculosis case report and literature review”. Med1 (2016).
  4. Akbar HO. “Intestinal tuberculosis and Crohn’s disease: The dilemma of similarities and misdiagnosis”. BMJ Case Reports (2009).
  5. Limsrivilai J., et al. “Meta-Analytic Bayesian Model for Differentiating Intestinal Tuberculosis from Crohn’s Disease”. American Journal of Gastroenterology 112 (2017): 415-427.
  6. Model to differentiate intestinal TB from Crohn’s disease (2021).
  7. Kedia S., et al. “Computerized tomography-based predictive model for differentiation of Crohn’s disease from intestinal tuberculosis”. Indian Journal of Gastroenterology 2 (2015): 135-143.
  8. Jung Y., et al. “Predictive factors for differentiating between Crohn’s disease and intestinal tuberculosis in Koreans”. The American Journal of Gastroenterology 8 (2016): 1156-1164.

Copyright: © Moussaoui Safa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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