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Papers of the Week

2020 Oct-Dec

Rev Gastroenterol Peru



Diagnostic challenge between Crohn’s disease and intestinal tuberculosis in chronic diarrhea with ulcerated jejunal stenosis: a case report.


Costa-Barney V, Delgado-Villarreal AF, Leguízamo A M, Vargas R D
Rev Gastroenterol Peru. 2020 Oct-Dec; 40(4):346-350.
PMID: 34087925.


Intestinal tuberculosis and Crohn's disease are a diagnostic challenge because of the clinical, radiological and endoscopic similarity. The histological and microbiological findings are positive in less than 50%, which delays the correct treatment, putting the patient at risk. We reported a 34-year-old immunocompetent patient with 4 years of malabsorptive diarrhea, weight loss, nocturnal diaphoresis, abdominal pain and an ulcer with stenosis in the jejunum was found; she received empirical anti- tuberculosis treatment with clinical improvement. Later the culture was positive for M. tuberculosis.