[Severe ileocolitis refractory to standard medical treatment. A diagnostic dilemma]
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[Severe ileocolitis refractory to standard medical treatment. A diagnostic dilemma]. / Hennigs, Annette; Schmiedel, Stefan; Lohse, Ansgar W.; Burchard, Gerd-Dieter.
In: INTERNIST, Vol. 49, No. 9, 9, 2008, p. 1115-1119.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - [Severe ileocolitis refractory to standard medical treatment. A diagnostic dilemma]
AU - Hennigs, Annette
AU - Schmiedel, Stefan
AU - Lohse, Ansgar W.
AU - Burchard, Gerd-Dieter
PY - 2008
Y1 - 2008
N2 - The differential diagnosis of granulomatous intestinal diseases leads to recurrent false diagnoses. Our patient who was presenting with gastrointestinal complaints was first diagnosed as having Crohn's disease. Put on an immunosuppressive treatment, the symptoms deteriorated. Examination of sputum revealed acid-fast bacilli, later confirmed as M. tuberculosis in culture, and colonoscopy showed necrotizing granulomas, which lead us to the final diagnosis of abdominal tuberculosis. Our patient improved under an adequate tuberculostatic regime.
AB - The differential diagnosis of granulomatous intestinal diseases leads to recurrent false diagnoses. Our patient who was presenting with gastrointestinal complaints was first diagnosed as having Crohn's disease. Put on an immunosuppressive treatment, the symptoms deteriorated. Examination of sputum revealed acid-fast bacilli, later confirmed as M. tuberculosis in culture, and colonoscopy showed necrotizing granulomas, which lead us to the final diagnosis of abdominal tuberculosis. Our patient improved under an adequate tuberculostatic regime.
M3 - SCORING: Zeitschriftenaufsatz
VL - 49
SP - 1115
EP - 1119
JO - INTERNIST
JF - INTERNIST
SN - 0020-9554
IS - 9
M1 - 9
ER -