A case report of intestinal tuberculosis diagnosed by double balloon enteroscopy and interferon-γ assay

Takayoshi Fujita, Takafumi Ando, Osamu Watanabe, Osamu Maeda, Kazuhiro Ishiguro, Hironao Takahashi, Daisuke Ishikawa, Masaaki Minami, Motofusa Hasegawa, Naoki Omiya, Yasumasa Niwa, Shigeo Nakamura, Hidemi Goto

研究成果: Article査読

2 被引用数 (Scopus)

抄録

A 58-year-old woman was admitted in June 2005 with a fever of unknown origin. She had right lower quadrant abdominal pain. CT scan showed a thickened distal ileum wall and mesenteric lymph node enlargement. The differential diagnosis included : Crohn's disease, intestinal tuberculosis, malignant lymphoma, and Yersinia enteritis. On double balloon enteroscopy (DBE), mucosal edema and multiple circular ulcers were found in the distal ileum. On biopsy, a dense infiltration of lymphoid cells and an epithelioid granuloma with Langhans giant cells were noted. The whole-blood interferon-γ assay done using the QuantifFERON ® -TB2 G test (QFT) was positive. Intestinal tuberculosis was diagnosed. The patient's symptoms improved after anti-tuberculous therapy with isoniazid, rifanpicin, pyrazinamide and ethambutol. DBE and QFT were useful for diagnosing small bowel tuberculosis.

本文言語English
ページ(範囲)2846-2851
ページ数6
ジャーナルGASTROENTEROLOGICAL ENDOSCOPY
49
11
出版ステータスPublished - 01-11-2007

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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