| Theme | Differential diagnosis for common enterocolitis, especially in endoscopic findings | |
|---|---|---|
| Title | Intestinal tuberculosis | |
| Publish Date | 2014/07 | |
| Author | Miwa Sada | Department of Gastroenterology, Kitasato University East Hospital |
| Author | Kiyonori Kobayashi | Department of Gastroenterology, Kitasato University East Hospital |
| Author | Kana Kawagishi | Department of Gastroenterology, Kitasato University East Hospital |
| Author | Shohei Ooka | Department of Gastroenterology, Kitasato University East Hospital |
| Author | Miyuki Mukae | Department of Gastroenterology, Kitasato University East Hospital |
| Author | Kaoru Yokoyama | Department of Gastroenterology, Kitasato University East Hospital |
| Author | Wasaburo Koizumi | Department of Gastroenterology, Kitasato University East Hospital |
| [ Summary ] | Intestinal tuberculosis is one form of infectious colitis that must be kept in mind. Endoscopic and radiologic findings exhibit circular or girdle shaped ulcers, small irregular ulcers, atrophic mucosal areas with ulcer induced scars. These characteristics are typical for the diagnosis of intestinal tuberculosis. Diagnosis requires detection of Mycobacterium tuberculosis or tuberculosis granuloma in lesions. However, this can be difficult to confirm. Therefore, patients are occasionally given antituberculous drugs as a diagnostic treatment. Differential diagnosis includes Crohn's disease, ulcerative colitis, Behçet's disease, amebic colitis, and nonsteroidal anti-inflammatory drug-induced colopathy. It is important to distinguish those conditions from intestinal tuberculosis. | |