title: [A case of synchronous intestinal tuberculosis involving the stomach and colon].
abstract: Intestinal tuberculosis is a common disease of extrapulmonary tuberculosis and should be differentiated from the inflammatory bowel diseases and malignancy such as Crohn's disease, ulcerative colitis, amebic colitis, and colon cancer. Most frequently involved sites (75% of cases) are the terminal ileum and cecum. Other sites of involvement, in order of frequency, are ascending colon, jejunum, appendix, duodenum, stomach, esophagus, sigmoid colon, and rectum. Intestinal tuberculosis simultaneously involving the stomach and colon has been very rarely reported. Recently, we experienced a case of synchronous gastric and colonic ulcers with granulomatous inflammation. Although we did not find acid fast bacilli and the culture test was negative, empirical anti-tuberculosis therapy resulted in dramatic clinical and endoscopic improvement. We report a rare case of multifocal gastrointestinal tuberculosis with a review of literature.
authors.affiliation: Department of Internal Medicine, Guri Hospital, Hanyang University College of Medicine, Guri, Korea.
authors.forename: Joo Hyoung
authors.initials: JH
authors.lastname: Kim
authors.forename: Yong Cheol
authors.initials: YC
authors.lastname: Jeon
authors.forename: Tae Yeob
authors.initials: TY
authors.lastname: Kim
authors.forename: Chang Soo
authors.initials: CS
authors.lastname: Eun
authors.forename: Joo Hyun
authors.initials: JH
authors.lastname: Sohn
authors.forename: Dong Soo
authors.initials: DS
authors.lastname: Han
authors.forename: Jae Jung
authors.initials: JJ
authors.lastname: Jang
authors.forename: Yong Wook
authors.initials: YW
authors.lastname: Park
mesh_terms: D003108:Colonic Diseases / Q000175:diagnosis* / Q000473:pathology; D003113:Colonoscopy; D004359:Drug Therapy, Combination; D005260:Female; D005773:Gastroscopy; D006801:Humans; D008875:Middle Aged; D013272:Stomach Diseases / Q000175:diagnosis* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology