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首页> 外文期刊>European journal of gastroenterology and hepatology >Intestinal tuberculosis: a diagnostic challenge--case report and review of the literature.
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Intestinal tuberculosis: a diagnostic challenge--case report and review of the literature.

机译：肠结核：诊断上的挑战-病例报告和文献复习。

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摘要

Even though tuberculosis is considered rare in developed countries, its rising incidence, especially in high-risk populations, places intestinal tuberculosis in the differential diagnosis of patients with atypical abdominal symptoms or signs. We, herein, report the case of an immunocompetent woman, from a nonendemic area, who developed intestinal tuberculosis, emphasizing the diagnostic challenges caused due to nonspecific symptoms, inconclusive clinical, laboratory, and imaging findings, which could not rule in or rule out tuberculosis. Antituberculosis treatment was administered based on endoscopic findings and histological features of mucosal biopsies, which were indicative of intestinal tuberculosis, and the patient showed a marked clinical and laboratory improvement. We also review the evidence with regard to the diagnostic accuracy of the different available tests for intestinal tuberculosis.
机译：尽管在发达国家认为结核病很少见，但结核病的发病率上升，尤其是在高危人群中，使肠道结核成为具有非典型腹部症状或体征的患者的鉴别诊断。我们在此报告非传染病地区的一名免疫能力强的妇女，该妇女患上肠结核，强调由于非特异性症状，不确定的临床，实验室和影像学检查结果而导致的诊断挑战，但不能排除或排除结核病。根据内镜检查结果和粘膜活检的组织学特征（表明肠结核）进行抗结核治疗，患者表现出明显的临床和实验室改善。我们还回顾了有关肠结核的各种可用测试的诊断准确性的证据。

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