[Tuberculosis infection in patients with inflammatory bowel diseases. Clinacal cases].
M U TimanovskaiaY R ShaykhtdinovaE U ZhulinaD S KulakovAnna KagramanovaO V KnyzevA I ParfenovPublished in: Terapevticheskii arkhiv (2023)
In most cases Tuberculosis (TB) affects the lungs, but 10-15% of patients have extrapulmonary TB localisations, that is difficult to diagnose. TB is more spread among patients having the human immunodeficiency virus and among those who receive immunosuppressive therapy, specifically in patients with inflammatory bowel disease requiring long-term treatment with immunosuppressants and/or biologics. The symptoms of intestinal TB are nonspecific and may include chronic diarrhea, weight loss, fever and ascites. Differential diagnosis includes Crohn's disease, malignant neoplasms, periappendiceal abscesses, yersiniosis, etc. The article presents cases showing similarity of the intestinal form of TB with Crohn's disease, complexity dealing, diagnosing and treating patients with inflammatory bowel disease also having latent tuberculosis infection.
Keyphrases
- mycobacterium tuberculosis
- patients with inflammatory bowel disease
- human immunodeficiency virus
- pulmonary tuberculosis
- weight loss
- hiv aids
- hepatitis c virus
- end stage renal disease
- antiretroviral therapy
- ejection fraction
- bariatric surgery
- peritoneal dialysis
- hiv infected
- emergency department
- physical activity
- hiv positive
- stem cells
- skeletal muscle
- bone marrow
- adverse drug
- glycemic control
- weight gain
- obese patients