Système gastro-intestinal et digestif

Abstrait

Misdiagnosis of Intestinal Tuberculosis as Crohn's Disease: A Case Report and Literature Review of Parametric Predictive Models

N. Ben Chaabène, L. Safer, S. Moussaoui, M. Zakhama, M. Moussaoui, A. Guediche, I. Jemni

In recent years, the incidence of Crohn's disease (CD) has been increasing worldwide, especially in areas where tuberculosis (TB) is prevalent. Due to similar manifestations, distinguishing between Crohn’s disease (CD) and intestinal tuberculosis (ITB) is quite challenging. Herein, we report the case of a 25 year old man who presented with recurrent partial bowrl obstruction, whose initial diagnostic work up suggested stenosing Crohn disease 3 years ago. He had been previously treated with mesalazine and corticosteroids. After undergoing surgical treatment, histopathological findings revealed the diagnoses of intestinal tuberculosis instead. We combined our case report with parametric predictive models reviewed in the literature to evaluate their diagnostic accuracy for our case. We found that using these models could lead to a better differentiation between these two entities.