Korean Journal of Gastrointestinal Endoscopy 1998;18(3): 408-415.
증례 : 식도 위장관 ; 결핵성 임파선염을 동반하고 상하부 장관을 광범위하게 침범한 장결핵 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Intestinal Tuberculosis Extensively Involving the Upper and Lower Intestinal Tract , Accompanied by Tuberculous Lymphadenitis )
서강석, 김종순, 오원태, 안현택, 김현수, 구철, 최성규, 유종선, 김세종, 윤종만 (Kang Seok Seo, Jong Soon Kim, Woon Tae Oh, Hyun Taek Ahn, Hyun Soo Kim, Cheol Koo, Sung Kyu Choi, Jong Sun Rew, Sei Jong Kim and Chong Mann Yoon)
Abstract
The prevalence of intestinal tuberculosis has been markedly decreased with the development of anti-tuberculous chemotherapy, preventive medicine, vaccinations, early detection and treatment of pulmonary tuberculosis, and improved eeonomic conditions. Nowadays, intestinal tuberculosis is a disease that should be differentiated from the inflammatory bowel diseases such as Crohn's disease and ulcerative colitis, Behcet's disease, and colon cancer and amebic colitis. This disease also has a new clinical significance in that it has an increased infection rate and unfavorable outcomes in patients infected by HIV or in those who undergo organ transplantation or receive immunosuppressive agents. Tuberculosis of the duodenum was a rare disease and was not reported in the last decade. Moreover Intestinal tuberculosis extensively involving the small bowel including the duodenum and colon was very rarely reported in the various relateid literature. Recently we experienced a case of advanced intestinal tuberculosis involving the duodenum, jejunum, ileum, and colon accompanied by tuberculous cervical and abdominal lymphadenopathies, in a 49-year-old woman who manifested profound general weakness, diarrhea, and marked weight loss. She was diagnosed pathologically by upper gastrointestinal endoscopy, colonoscopy, and fine needle aspiration cytology as well as by roentgenologic examination. The patient was given antituberculous medication which resulted in dramatic clinical improvement. In this report, we present this case with review of the related literature. (Korean J Gastrointest Endosc 18: 408-414, 1998)
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