• Internal medicine · Sep 2024

    Case Reports

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

    • Motoki Kaneko, Masashi Matsushima, Takashi Ueda, Hirohiko Sato, Masaya Sano, Erika Teramura, Mia Fujisawa, and Hidekazu Suzuki.
    • Division of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine, Japan.
    • Intern. Med. 2024 Sep 1; 63 (17): 239123972391-2397.

    AbstractThe 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.

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