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Colonic Tuberculosis Showing Macroscopically Cobblestone-like Appearance, Report of a Case Shinji Tanaka 1 , Ken Haruma 1 , Yuko Hiraga 1 1The First Department of Internal Medicine, Hiroshima University School of Medicine Keyword: 大腸結核 , 大腸Crohn病 , 炎症性腸疾患 pp.549-554
Published Date 1995/3/25
DOI https://doi.org/10.11477/mf.1403105382
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 A 43 year-old woman whose chief complaint was high fever and watery diarrhea was admitted to our hospital. Radiological and colonoscopic examination revealed remarkable cobblestone-like appearance and multiple small ulcers in the ascending colon. After diagnosing Crohn's disease, we treated the patient by IVH and Salazopyrin. However, her symptoms and laboratory data did not improve. Histologic examination of biopsy specimen was during reexamination of colonoscopy showed caseous granuloma and was diagnosed as colonic tuberculosis. After anti-tubercular therapy was performed, her symptoms and laboratory data improved. Furthermore, cobblestone-like appearance disappeared. This case was thought to be very important for making a differential diagnosis between Crohn's disease and colonic tuberuculosis.


Copyright © 1995, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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