Resumo

COSTA-BARNEY, Valeria; DELGADO-VILLARREAL, Andrés F.; LEGUIZAMO, Ana María  e  VARGAS, Rómulo Darío. Diagnostic challenge between Crohn's disease and intestinal tuberculosis in chronic diarrhea with ulcerated jejunal stenosis: a case report. Rev. gastroenterol. Perú [online]. 2020, vol.40, n.4, pp.346-350. ISSN 1022-5129.  http://dx.doi.org/10.47892/rgp.2020.404.1174.

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.

Palavras-chave : Diarrhea; Tuberculosis, gastrointestinal; Crohn disease; Stenosis; Single-Balloon Enteroscopy.

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