İntestinal Tüberküloz: Tanısal Zorlukları ile Beraber Nadir Bir Olgu

Tüberküloz, artan sıklığı ile ülkemizde hala mortalite ve morbiditenin önemli bir nedenidir. Gastrointestinal sistemin aynı bölümlerini etkilemeleri, ülseratif lezyonlarla seyretmeleri, semptom ve muayene bulgularının benzer olması gibi nedenlerle intestinal tüberküloz ve Crohn hastalığı klinik olarak ayırt edilemeyebilirler. Olguda karın ağrısı nedeniyle hastaneye başvuran ve zorlu tanı aşamalarını takiben intestinal tüberküloz tanısı alan 31 yaşında kadın hasta sunulmuştur. Sadece intestinal bulguları olan hastalarda, Crohn hastalığı düşünülerek verilen antiinflamatuvar ve immünomodülatör tedavi hastalığın ilerlemesine neden olabileceği unutulmamalıdır. Bu nedenle ayrıntılı testlerle intestinal tüberküloz tanısı irdelenmelidir

Intestinal Tuberculosis: A Rare Disease with Diagnostic Difficulty

Tuberculosis is an important cause of mortality and morbidity in Turkey with steadily increasing incidence. By effecting the same part of gastrointestinal tract and causing ulserative lessions, symptoms and examination findings, intestinal tuberculosis and Crohn’s disease are clinically indistinguishable. In this case, we present a successfully treated case of 31 year old woman with intestinal tuberculosis, despite the diagnostic difficulties. Patients who have only abdominal symptoms may face the risk of getting treated like inflammatory bowel diseases with antiinflammatory and immunomodulator agents which might cause a progression in the disease. Diagnosis of intestinal tuberculosis should be studied carefully

Kaynakça

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Kaynak Göster

MLA Çelik, S , Kayılıoğlu, İ , Akyol, C . "Intestinal Tuberculosis: A Rare Disease with Diagnostic Difficulty" . Cukurova Medical Journal 40 (2015 ): 178-183 <
  • ISSN: 2602-3032
  • Yayın Aralığı: Yılda 4 Sayı
  • Yayıncı: Çukurova Üniversitesi

75.9b 48.3b