title: [Intestinal tuberculosis: Easier overlooked than diagnosed].
abstract: Intestinal tuberculosis: Easier overlooked than diagnosed. The medical history of two Asian immigrants suffering from intestinal tuberculosis demonstrates the difficulties in finding the correct diagnosis. Intestinal tuberculosis resembles Crohn's disease with regard to clinical symptoms, macroscopic and microscopic intestinal findings. Sonographic, radiologic, endoscopic, and histological examinations facilitate distinguishing both entities. Diagnosis of intestinal tuberculosis is made by identification of the causative microorganism in tissue specimens. As this may be difficult and time-consuming, a therapeutic trial with anti-tuberculous agents may be warranted.
authors.affiliation: Abteilung Gastroenterologie und Hepatologie, Hannover, Germany. goeke.michael@mh-hannover.de
authors.forename: M N
authors.initials: MN
authors.lastname: Göke
authors.forename: A
authors.initials: A
authors.lastname: Leppert
authors.forename: P
authors.initials: P
authors.lastname: Flemming
authors.forename: B
authors.initials: B
authors.lastname: Soudah
authors.forename: F C
authors.initials: FC
authors.lastname: Bange
authors.forename: J S
authors.initials: JS
authors.lastname: Bleck
authors.forename: A
authors.initials: A
authors.lastname: Widjaja
authors.forename: B
authors.initials: B
authors.lastname: Högemann
authors.forename: J
authors.initials: J
authors.lastname: Mellmann
authors.forename: J
authors.initials: J
authors.lastname: Ockenga
authors.forename: I
authors.initials: I
authors.lastname: Schedel
authors.forename: M
authors.initials: M
authors.lastname: Gebel
authors.forename: M P
authors.initials: MP
authors.lastname: Manns
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003113:Colonoscopy; D003131:Combined Modality Therapy; D003424:Crohn Disease / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D004641:Emigration and Immigration; D005260:Female; D005858:Germany; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D013188:Sri Lanka / Q000208:ethnology; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D014744:Vietnam / Q000208:ethnology
chemical_list: D000995:Antitubercular Agents