Show simple item record

dc.contributor.authorPapis, Davide
dc.contributor.authorBranchi, Vittorio
dc.contributor.authorGómez Quiles, Luis
dc.contributor.authorHerrerias, Fernando
dc.contributor.authorVilardell, Felip
dc.contributor.authorGonzalez, Marta
dc.contributor.authorOlsina Kissler, Jorge Juan
dc.date.accessioned2016-02-18T10:35:20Z
dc.date.available2016-02-18T10:35:20Z
dc.date.issued2015
dc.identifier.issn2210-2612
dc.identifier.urihttp://hdl.handle.net/10459.1/56602
dc.description.abstractINTRODUCTION: Tuberculosis in Europe is a health public problem, which has increased constantly over the last few decades. The most common clinical manifestation of tuberculosis is pulmonary. The diagnosis of extrapulmonary tuberculosis can be challenging and clinical manifestations of gastrointestinal tuberculosis are unspecific and can mimic other pathologies. 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: The diagnosis of abdominal tuberculosis still remains a challenge for both internists and surgeons. Before starting a therapy with adalimumab, every patient should be tested for latent tuberculosis infection.ca_ES
dc.language.isoengca_ES
dc.publisherElsevierca_ES
dc.relation.isformatofReproducció del document publicat a https://doi.org/10.1016/j.ijscr.2014.11.075ca_ES
dc.relation.ispartofInternational Journal of Surgery Case Reports, 2015, vol. 6, núm. 2015, p. 122-125ca_ES
dc.rightscc-by-nc-nd, (c) Papis et al., 2015ca_ES
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/es/*
dc.subjectAbdominal tuberculosisca_ES
dc.subjectMedical treatmentca_ES
dc.subjectDifficult diagnosisca_ES
dc.subjectSurgeryca_ES
dc.titleAbdominal tuberculosis mimicking Crohn’s disease’s exacerbation: a clinical, diagnostic and surgical dilemma. A case reportca_ES
dc.typearticleca_ES
dc.type.versionpublishedVersionca_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccessca_ES
dc.identifier.doihttps://doi.org/10.1016/j.ijscr.2014.11.075


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record

cc-by-nc-nd, (c) Papis et al., 2015
Except where otherwise noted, this item's license is described as cc-by-nc-nd, (c) Papis et al., 2015