Korean J Pediatr.  2006 Nov;49(11):1227-1231. 10.3345/kjp.2006.49.11.1227.

A case of intestinal tuberculosis complicated by miliary tuberculosis

• Chung MK
• Choi JH
• Yoo JS
• Ahn SI
• Lee J
• Kim BL
• Kim JA
• Chang JK

• KMID: 2280072
• DOI: http://doi.org/10.3345/kjp.2006.49.11.1227

Abstract

Intestinal tuberculosis presents with nonspecific and variable clinical manifestations. It is rarely seen in current clinical practice and the diagnosis may be missed or confused with many other disorders such as Crohns disease and intestinal neoplasms. The route of infection by tuberculous enteritis is variable and the treatment regimens used for treating pulmonary tuberculosis are generally effective for tuberculous enteritis as well. Uncomplicated tuberculous enteritis can be managed with a nine to 12- month course of antituberculous chemotherapy. If not treated early, the prognosis for intestinal tuberculosis is poor, with an overall mortality of between 19 percent and 38 percent. However, 90 percent of patients will respond to medical therapy alone if started early. Therefore, early detection and treatment is essential. Here we report a case of intestinal tuberculosis secondary to miliary tuberculosis.

Keyword

Tuberculosis; Gastrointestinal; Child; preschool

MeSH Terms

Crohn Disease
Diagnosis
Drug Therapy
Enteritis
Humans
Intestinal Neoplasms
Mortality
Prognosis
Tuberculosis*
Tuberculosis, Miliary*
Tuberculosis, Pulmonary