title: Massive gastrointestinal tuberculosis in a young patient without immunosuppression.
abstract: Although the lung is the major site for Mycobacterium tuberculosis infection, gastrointestinal involvement can be present as part of multiorgan disease process or, less commonly, can be seen as primary gastrointestinal tuberculosis. In the cases where the culture is negative, it can be difficult to differentiate tuberculosis from Crohn's disease based on both the clinical and histological features. When side effects of classic antimycobacteria are encountered, we can initially add ciprofloxacin to the treatment of tuberculosis. We reported a case of 19-yr-old patient, who was treated as Crohn's disease and worsen. We began to tuberculosis treatment, and the patient improved clinically and histologically. The main point in this case is that widespread involvement of gastrointestinal tract can be brought about by non resistant strains of Mycobacterium tuberculosis even in immunocompetent patients.
authors.affiliation: Abant Izzet Baysal University Duzce Medical Faculty Department of Internal Medicine, Duzce, Turkey. ysertbas@hotmail.com
authors.forename: Yasar
authors.initials: Y
authors.lastname: Settbas
authors.forename: Murat
authors.initials: M
authors.lastname: Alper
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Akcan
authors.forename: Yesim
authors.initials: Y
authors.lastname: Gurbuz
authors.forename: Sükrü
authors.initials: S
authors.lastname: Oksuz
mesh_terms: D000328:Adult; D003106:Colon / Q000382:microbiology / Q000473:pathology; D003113:Colonoscopy; D003424:Crohn Disease / Q000150:complications*; D006801:Humans; D007121:Immunocompetence; D008297:Male; D014385:Tuberculosis, Gastrointestinal / Q000276:immunology / Q000473:pathology*