Kemik iliği biyopsisiyle tanı konulan bir intestinal tüberküloz vakası

Year 2011, Volume: 10 Issue: 1, 32 - 36, 01.04.2011

Meltem Ergün Gülden Aydoğ Metin Başaranoğlu Aysel Ülker Bilge Tunç Sarper Ökten Nurgül Şaşmaz

Abstract

İntestinal tüberküloz gelişmekte olan ülkelerde halen görülmekte olan ve vakaların yaklaşık 1/3'ünde pulmoner tüberkülozun eşlik ettiği bir hastalıktır. Özellikle pulmoner tüberkülozu olmayan vakalarda tanı koymak güçtür. Spesifik olmayan semptomatolojisi, Crohn hastalığıyla karışabilen yönleri ve tanı; koymaya yönelik testlerin farklı sensitivite ve spesifiteleri nedenleriyle tanı öncelikle bu hastalıktan şüphelenmek ve multiple diagnostik metodları bir arada kullanarak konulabilir. Burada sunduğumuz 30 yaşında diare, karın ağrısı, kilo kaybı şikayetleri ile başvuran anemi, hipoalbüminemisi saptanan ve kolonoskopik incelemede ileoçakal valv ve ileum ülserleri bulunan bayan hastada öncelikle Crohn hastalığı düşünülerek tedavi verilmiş ancak klinik yanıtsızlık nedeniyle yapılan uzun araştırmalar sonunda intestinal tüberküloz tanısı konulabilmiştir.

Keywords

Gastrointestinal tüberküloz, abdominal tüberküloz, intestinal tüberküloz

An intestinal tuberculosis case diagnosed by bone marrow biopsy

Abstract

Intestinal tuberculosis is still seen in developing countries, and approximately one-third of the cases are accompanied by pulmonary tuberculosis. Because of the non-specific symptomatology, similar findings to Crohn's disease and different sensitivity and specificity rates of diagnostic tests, a high index of suspicion and combination of multiple diagnostic modalities are required to diagnose intestinal tuberculosis. A 30-year-old woman was admitted to our hospital with a two-year history of diarrhea, abdominal pain and weight loss. Laboratory tests showed anemia and hypoalbuminemia, and ulcers were found in the ileum and ileocecal valve on colonoscopic examination. Crohn's disease was diagnosed, but there was no clinical remission with mesalazine and steroid treatment. Intestinal tuberculosis was diagnosed after an extended work-up period.

Keywords

Gastrointestinal tuberculosis, abdominal tuberculosis, intestinal tuberculosis

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