Open AccessMassive gastrointestinal tubercolsis in a young patient without immunosupression
Author(s) -
Yasar Settbas,
Murat Alper,
Yusuf Akcan,
Yeşim Gürbüz,
Şükrü Öksüz
Publication year - 2003
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v9.i10.2382
Subject(s) - medicine , tuberculosis , gastrointestinal tract , mycobacterium tuberculosis , disease , crohn's disease , gastrointestinal disease , gastroenterology , immunology , pathology
Although the lung is the major site for Mycobacterium tuberculosis infection, gastrointestinal involvement can be present as part of multiorgan disease process or, less commonly, can be seen as primary gastrointestinal tuberculosis. In the cases where the culture is negative, it can be difficult to differentiate tuberculosis from Crohn's disease based on both the clinical and histological features. When side effects of classic antimycobacteria are encountered, we can initially add ciprofloxacin to the treatment of tuberculosis. We reported a case of 19-yr-old patient, who was treated as Crohn's disease and worsen. We began to tuberculosis treatment, and the patient improved clinically and histologically. The main point in this case is that widespread involvement of gastrointestinal tract can be brought about by non resistant strains of Mycobacterium tuberculosis even in immunocompetent patients.