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

2 引用 (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.

元の言語English
ページ(範囲)2846-2851
ページ数6
ジャーナルGASTROENTEROLOGICAL ENDOSCOPY
49
発行部数11
出版物ステータスPublished - 01-11-2007
外部発表Yes

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Double-Balloon Enteroscopy
Interferons
Tuberculosis
Ileum
Langhans Giant Cells
Fever of Unknown Origin
Pyrazinamide
Yersinia
Ethambutol
Enteritis
Isoniazid
Granuloma
Crohn Disease
Abdominal Pain
Ulcer
Lymphoma
Edema
Differential Diagnosis
Lymph Nodes
Lymphocytes

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

これを引用

Fujita, T., Ando, T., Watanabe, O., Maeda, O., Ishiguro, K., Takahashi, H., ... Goto, H. (2007). A case report of intestinal tuberculosis diagnosed by double balloon enteroscopy and interferon-γ assay. GASTROENTEROLOGICAL ENDOSCOPY, 49(11), 2846-2851.
Fujita, Takayoshi ; Ando, Takafumi ; Watanabe, Osamu ; Maeda, Osamu ; Ishiguro, Kazuhiro ; Takahashi, Hironao ; Ishikawa, Daisuke ; Minami, Masaaki ; Hasegawa, Motofusa ; Omiya, Naoki ; Niwa, Yasumasa ; Nakamura, Shigeo ; Goto, Hidemi. / A case report of intestinal tuberculosis diagnosed by double balloon enteroscopy and interferon-γ assay. :: GASTROENTEROLOGICAL ENDOSCOPY. 2007 ; 巻 49, 番号 11. pp. 2846-2851.
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abstract = "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 {\circledR} -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.",
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Fujita, T, Ando, T, Watanabe, O, Maeda, O, Ishiguro, K, Takahashi, H, Ishikawa, D, Minami, M, Hasegawa, M, Omiya, N, Niwa, Y, Nakamura, S & Goto, H 2007, 'A case report of intestinal tuberculosis diagnosed by double balloon enteroscopy and interferon-γ assay', GASTROENTEROLOGICAL ENDOSCOPY, 巻. 49, 番号 11, pp. 2846-2851.

A case report of intestinal tuberculosis diagnosed by double balloon enteroscopy and interferon-γ assay. / Fujita, Takayoshi; Ando, Takafumi; Watanabe, Osamu; Maeda, Osamu; Ishiguro, Kazuhiro; Takahashi, Hironao; Ishikawa, Daisuke; Minami, Masaaki; Hasegawa, Motofusa; Omiya, Naoki; Niwa, Yasumasa; Nakamura, Shigeo; Goto, Hidemi.

:: GASTROENTEROLOGICAL ENDOSCOPY, 巻 49, 番号 11, 01.11.2007, p. 2846-2851.

研究成果: Article

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T1 - A case report of intestinal tuberculosis diagnosed by double balloon enteroscopy and interferon-γ assay

AU - Fujita, Takayoshi

AU - Ando, Takafumi

AU - Watanabe, Osamu

AU - Maeda, Osamu

AU - Ishiguro, Kazuhiro

AU - Takahashi, Hironao

AU - Ishikawa, Daisuke

AU - Minami, Masaaki

AU - Hasegawa, Motofusa

AU - Omiya, Naoki

AU - Niwa, Yasumasa

AU - Nakamura, Shigeo

AU - Goto, Hidemi

PY - 2007/11/1

Y1 - 2007/11/1

N2 - 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.

AB - 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.

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Fujita T, Ando T, Watanabe O, Maeda O, Ishiguro K, Takahashi H その他. A case report of intestinal tuberculosis diagnosed by double balloon enteroscopy and interferon-γ assay. GASTROENTEROLOGICAL ENDOSCOPY. 2007 11 1;49(11):2846-2851.