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Tuberculosis presenting as inflammatory bowel disease

Report of two cases

  • Published:
Diseases of the Colon & Rectum

Abstract

Two cases are reported of idiopathic inflammatory total colitis in patients with a previous history of tuberculosis. One showed colonoscopic and radiologic features of Crohn's disease and the other was diagnosed as ulcerative colitis. Tuberculous organisms were identified in the mesenteric nodes in one patient, but were not detected in the other. Both patients improved with antituberculous treatment. This report emphasizes the importance of considering tuberculosis in patients presenting with idiopathic inflammatory bowel disease of the colon and raises speculation on the possible infective etiology of Crohn's disease.

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Authors and Affiliations

  1. Gastroenterology Unit, Westminister Hospital, London, UK

    M. Ehsannulah M.D., M.R.C.P., A. Isaacs M.A., M.R.C.P. &  B. G. Gazzard M.A., M.D., M.R.C.P. (Consultant)

  2. Department of Histopathology, Westminister Hospital, London, UK

    M. Isabel Filipe Ph.D., M.R.C.Path.

Authors
  1. M. Ehsannulah M.D., M.R.C.P.
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  2. A. Isaacs M.A., M.R.C.P.
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  3. M. Isabel Filipe Ph.D., M.R.C.Path.
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  4. B. G. Gazzard M.A., M.D., M.R.C.P.
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Cite this article

Ehsannulah, M., Isaacs, A., Filipe, M.I. et al. Tuberculosis presenting as inflammatory bowel disease. Dis Colon Rectum 27, 134–136 (1984). https://doi.org/10.1007/BF02553998

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  • DOI: https://doi.org/10.1007/BF02553998

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