[Crohn disease and abdominal tuberculosis: complications related to a diagnostic error].
BACKGROUND
We report the case of a patient with abdominal tuberculosis initially treated as Crohn disease.


METHODS
A 50-year-old man, diagnosed with Crohn disease, was admitted to the intensive care unit for acute respiratory failure. After a new diagnosis of pulmonary and ileocecal tuberculosis and appropriate treatment for it, he improved.


CONCLUSIONS
It is difficult - but essential - to differentiate intestinal tuberculosis and Crohn disease, for the immune suppression necessary to treat the latter can induce severe complications of the former. Management of intestinal tuberculosis is primarily medical, with surgery reserved for complications such as obstruction, fistulization, perforation, and bleeding.
Demory
Didier
D
Service de réanimation médicale, Hôpital Sainte-Marguerite, Marseille. didier.demory@ap-hm.fr
Forel
Jean-Marie
JM
Michel
Fabrice
F
Guillin-Poujol
Alexandra
A
Consentino
Bernard
B
Gainnier
Marc
M
Papazian
Laurent
L
Sainty
Jean-Marie
JM
D000995:Antitubercular Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002429:Cecal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D003113:Colonoscopy; D003424:Crohn Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013997:Time Factors; D016896:Treatment Outcome; D014385:Tuberculosis, Gastrointestinal / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000188:drug therapy
D000995:Antitubercular Agents