title: [Crohn disease and abdominal tuberculosis: complications related to a diagnostic error].
abstract: 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.
authors.affiliation: Service de réanimation médicale, Hôpital Sainte-Marguerite, Marseille. didier.demory@ap-hm.fr
authors.forename: Didier
authors.initials: D
authors.lastname: Demory
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Forel
authors.forename: Fabrice
authors.initials: F
authors.lastname: Michel
authors.forename: Alexandra
authors.initials: A
authors.lastname: Guillin-Poujol
authors.forename: Bernard
authors.initials: B
authors.lastname: Consentino
authors.forename: Marc
authors.initials: M
authors.lastname: Gainnier
authors.forename: Laurent
authors.initials: L
authors.lastname: Papazian
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Sainty
mesh_terms: 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
chemical_list: D000995:Antitubercular Agents