Intestinal Tuberculosis – A Master of Deception: A Case Report

Rahanul Islam, Tarana Hamid, Subha Shabnam, Md Iftakhar Alam, Md Rashidul Hoq

Abstract


Intestinal tuberculosis is one of the rarest types of extrapulmonary tuberculosis. Diagnostically challenging due to the requirement of time-consuming tissue culture and similarities with otherintestinal pathologies on imaging. Intestinal Tuberculosis (ITB) is a rare disease worldwide withhigh prevalence in the Southeast Asian region. This case report shows a 27-year-old, previouslypositive tuberculin test, male with mild features of ITB with a lump at the right lower quadrant ofthe abdomen for a duration of 5 months. Due to its insidious nature, ITB is difficult to differentiatefrom Crohn disease and colon carcinoma. The perplexity of diagnosis and complications that couldarise due to a delayed diagnosis are often life-threatening and lethal. A holistic diagnostic approachwas demonstrated in this case with colonoscopy and histopathology findings corresponding to thediagnosis of ITB. As a result, the patient gave a positive recovery remark on follow-up visits.

International Journal of Human and Health Sciences Vol. 08 No. 04 Oct’24 Page: 364-367


Keywords


Tuberculosis, Intestinal TB, Crohn’s Disease

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DOI: http://dx.doi.org/10.31344/ijhhs.v8i4.737

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