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گوارش، جلد ۲۸، شماره ۳، صفحات ۱۹۶-۲۰۰
عنوان فارسی
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عنوان انگلیسی Misdiagnosis of a Patient with Terminal Ileitis; A Case Report
چکیده انگلیسی مقاله Abdominal tuberculosis is one of the most critical and life-threatening ailments affecting the digestive system. Distinguishing it from other gastrointestinal disorders is paramount due to the potential complications of treatment overlap. Therapies such as corticosteroids and anti-tumor necrotic factor (anti-TNF) agents, effective against various diseases, can unintentionally exacerbate and propagate tuberculosis. The case in focus involves a 22-year-old man initially presented with abdominal pain. The clinical, endoscopic, and pathological assessments led to a diagnosis of Crohn's disease. Subsequently, the patient underwent treatment. However, 6 months into the treatment, the patient developed abdominal distension and ascites, necessitating hospital admission and re-evaluation. A comprehensive series of investigations revealed a diagnosis of military tuberculosis. The patient was subsequently administered four anti-tuberculosis drugs, resulting in a complete resolution of symptoms. This case underscores a crucial point: administering anti-TNF agents can inadvertently contribute to tuberculosis dissemination. Hence, a meticulous assessment to exclude tuberculosis before initiating such treatment is paramount.
کلیدواژه‌های انگلیسی مقاله Tuberculosis, Crohn&,#039,s disease, Terminal ileitis, Anti-TNF agents
نویسندگان مقاله | Pedram Beigvand
Medical Student, School of Medicine, Babol University of Medical Sciences & Health Services, Babol, I.R.Iran.


| Arman Azarpour
Senior Assistant of Pediatric Diseases, School of Medicine, Babol University of Medical Sciences & Health Services, Babol, I.R.Iran.


| Niloofar Moradi


| Seyed Hasan Abedi


نشانی اینترنتی http://govaresh.org/index.php/dd/article/view/2588
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Case Report
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