Crohn hastalığı ve intestinal tüberküloz birlikteliği

Tüberküloz gelişmekte olan ülkelerde halen önemli bir sağlık sorunudur. Ekstrapulmoner tüberküloz bir çok organı etkileyebilir. Gastrointestinal sistem tüberkülozu %3-5 ile sık izlenilmeyen bir ekstrapulmoner tüberküloz nedenidir; sıklıkla tüberküloz enteriti ve tüberküloz peritoniti olarak karşımıza çıkar. Tüberküloz enteriti ile Crohn hastalığı ayrımı önemlidir. Günümüzde Crohn hastalığının tedavisinde merkezde immünsüpresif ilaçlar yer almaktadır. Bu nedenle bu ayrım hayati önem taşımaktadır.

Combination of Crohn’s disease with intestinal tuberculosis

Tuberculosis is an important health care problem in developing countries. Extrapulmonary tuberculosis can affect many organs. However gastrointestinal tuberculosis is a rare condition with 3-5% frequency. Tuberculosis enteritis and tuberculosis peritonitis are the major clinical manifestations of gastrointestinal tuberculosis. Differential diagnosis between Crohn’s disease and tuberculosis enteritis is important. Immunsupresive treatments including anti-tumour necrosis factors are the leading treatment modalities in Crohn’s disease. Therefore distinction between these conditions is crucial.

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