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© Thomson Reuters, Journal Citation Reports, 2016

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  • Factor de Impacto: 0,917(2016)
  • 5-años Factor de Impacto: 0,791
  • SCImago Journal Rank (SJR):0,246
  • Source Normalized Impact per Paper (SNIP):0,264

© Thomson Reuters, Journal Citation Reports, 2016

Gastroenterol Hepatol 2003;26:351-4 - DOI: 10.1016/S0210-5705(03)70372-0
Tuberculosis intestinal. Un reto diagnóstico
Intestinal tuberculosis. a diagnostic challenge
P. Martínez Tiradoa,, , M. López de Hierro Ruiza, R. Martínez Garcíaa, J.G. Martínez Caraa, M.M. Martín Rodrígueza, M.M. Castilla Castellanob
a Servicio de Aparato Digestivo. Hospital Universitario Virgen de las Nieves. Granada. España
b Servicio de Nefrología. Hospital Universitario Virgen de las Nieves. Granada. España
Recibido 12 diciembre 2002, Aceptado 17 febrero 2003
Resumen

Tuberculosis (TB) is a common disease in Spain, whose incidence has increased due to AIDS, immunotherapy and immigration. Intestinal disease is rare and can be difficult to diagnose because its symptoms and laboratory results are nonspecific. In addition, endoscopic lesions resemble those of other diseases such as Crohn's disease (CD). Differentiating between intestinal TB and CD is very important since steroid treatment con be life saving in CD and lethal in intestinal TB.

Colonoscopy plays an important role in establishing a suspected diagnosis. The endoscopic findings most characteristic of intestinal TB are circular ulcers, small diverticula (3-5 mm), and sessile firm polyps. The suspected diagnosis must be confirmed by the presence of caseating granulomas and/or acid fast bacilli. Polymerase chain reaction is currently recommended for assessing the presence of tubercle bacilli in tissue specimens obtained by endoscopic biopsy.

We report a case of intestinal TB in a female renal transplantrecipient that demonstrates the difficulty of makingthis diagnosis.

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Correspondencia: Dra. P. Martínez Tirado. Trajano, 5, 5.o B. 18002 Granada. España
Copyright © 2003. Elsevier Espa??a, S.L.