Abstract | INTRODUCTION: PRESENTATION OF CASE: A young Chinese man, who had recently been diagnosed with Crohn's disease, was admitted to the emergency room of our hospital with a one-month history of diffuse abdominal pain and weight loss. The patient initially presented with epigastric pain, which had been constantly increasing over the last 48 h. Other symptoms included diarrhea, nausea, and fever. The patient was then admitted with the diagnosis of Crohn's disease exacerbation, and a treatment with corticosteroids, azathioprine, mesalazine, adalimumab, and antibiotic therapy was started. The symptoms were due to an initially misdiagnosed case of abdominal tuberculosis. DISCUSSION: Intestinal tuberculosis is mainly localized at the ileocecal level in 85% of patients. Medical therapy is the treatment of choice and surgery is not required if it is diagnosed at an early stage.
CONCLUSION:
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Authors | Davide Papis, Vittorio Branchi, Luis Gomez, Fernando Herrerias, Felip Vilardell, Marta Gonzalez, Jorge J Olsina |
Journal | International journal of surgery case reports
(Int J Surg Case Rep)
Vol. 6C
Pg. 122-5
( 2015)
ISSN: 2210-2612 [Print] Netherlands |
PMID | 25528041
(Publication Type: Journal Article)
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Copyright | Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved. |