Colonic tuberculosis mimicking Crohn's disease: case report

BMC Gastroenterol. 2002 May 13;2:10. doi: 10.1186/1471-230x-2-10.


Background: Intestinal tuberculosis is a rare disease in western countries, affecting mainly immigrants and immunocompromised patients. Intestinal tuberculosis is a diagnostic challenge, especially when active pulmonary infection is absent. It may mimic many other abdominal diseases.

Case presentation: Here, we report a case of isolated colonic tuberculosis where the initial diagnostic workup was suggestive of Crohn's disease. Computed tomography findings however, raised the possibility of colonic tuberculosis and the detection of acid-fast bacilli in biopsy specimens confirmed the diagnosis.

Conclusions: In conclusion, this case highlights the need for awareness of intestinal tuberculosis in the differential diagnosis of chronic intestinal disease

Publication types

  • Case Reports

MeSH terms

  • Chronic Disease
  • Crohn Disease / diagnosis*
  • Diagnosis, Differential
  • Humans
  • Male
  • Middle Aged
  • Mycobacterium / isolation & purification
  • Tomography, X-Ray Computed / methods
  • Tuberculosis, Gastrointestinal / diagnosis*