•  
  •  
 

Abstract

Tuberculosis (TB) has become a resurgent global problem with increasing numbers of patients. TB infection is still common and remains an important cause of morbidity and mortality, particularly in underdeveloped and developing nations. Intestinal tuberculosis (intestinal TB) rates are rising, consistet with the overall trend. In 2014 Indonesia has the second highest TB prevalence in South East Asia after Timor Leste. Intestinal TB is the sixth highest manifestation of extrapulmonal TB. Manifestations can be non-specific and mimic many conditions, including malignancies causes’ intestinal TB diagnosis more difficult to be accurately determined. Findings from endoscopy and radiological imaging are countless, and depend on the stage of the disease and the time at which investigations are carried out. Hence, diagnosis can be difficult. Until recently there is no single method to identify intestinal TB accurately, various investigative methods have been used to aid in the diagnosis of intestinal TB. Early diagnosis and initiation of antituberculous therapy and surgical treatment are essential to prevent morbidity and mortality. Combined clinical assessment and some modalities examinations are needed to determine intestinal TB. Patient whom has been diagnosed with intestinal TB will be given anti tuberculosis therapy and surgery if any complications occur.

References

1. WHO. Tuberculosis control in the south east asia region: annual report 2016 [Internet]. Geneva: World Health Organization; 2016 [cited 2016 Apr 13].p.1-219. Available from: http://www.searo. who.int/tb/annual-tb-report-2016.pdf?ua=1 2. TB/CTA, CDC, ATS, KNCV, The Union, WHO. International standards for tuberculosis care (ISTC) [Internet]. Geneva: World Health Organization;2006 [cited 2016 Feb 13]. p.1-60. Available from: http://www.who.int/tb/publications/ISTC_3rdEd.pdf 3. Mukewar S, Ravi R, Prasad A, Dua K. Colon Tuberculosis: Endoscopic Features and rospective Endoscopic Follow-Up After AntiTuberculosis Treatment. Clin Transl Gastroenterol. 2012;3(10):e24. 4. Sharma MP, Bhatia V. Abdominal Tuberculosis. Indian J Med Res. 2004;120(4):305-15. 5. Chong VH, Lim KS. Gastrointestinal Tuberculosis. Singapore Med J. 2009;50(6):638. 6. Rathi P, Gambhire P. Abdominal Tuberculosis. J Assoc Physicians India. 2016;64(2):38-47. 7. Yusuf AI, Syam AF, Simadibrata M, Fauzi A. Multiple Lessions of The Colon and Ileocaecal Valve in Collitis Tuberculosis Patient with Positive Bacili Examination in the Stool. The Indones J Gastroenterol Hepatol Dig Endosc. 2009;10(1):33-7. 8. Ranitya R, Syam AF, Kolopaking MS, Yuwono V. Diagnostic Problem and Management of Intestinal Tuberculosis. Indones J Gastroenterol Hepatol Dig Endosc. 2001;2(3):1-3. 9. Das HS, Rathi P, Sawant P, et al. Colonic Tuberculosis: Colonoscopic Appereance and Clinico-Patologic Analysis. J Assoc Physicians India. 2000;48(7):708-10. 10. Foster BD, Buchberg B, Parekh NK, Mills S. Case of Intestinal Tuberculosis Mimicking Crohn’s Disease. Am J Case Rep. 2012;13:58-61. 11. Mario C. Raviglione, Richard J. O’Brien. Tuberculosis. In: Longo, Fauci, Kasper, Hauser, Jameson, Loscalzo, editors. Harrison’s principles of internal medicines, 18th edition. Mc Graw Hill Education, 2015. p.1102-22. 12. Kapoor VK. Abdominal Tuberculosis. Postgrad Med J. 1998;74(874):459-67. 13. Larsson G, Shenov T, Ramasubramanian R, Kondarappassery LB, Smastuen MC, et al. Routine Diagnosis of Intestinal Tuberculosis and Chron’s Disease in Southern India. World J Gastroenterol. 2014;20(17):5017-24. 14. Jung JH KS, Cho YK, Ahn SB, Son BK,Jo YJ et al. A case report of primary duodenal tuberculosis mimicking a malignant tumor. Clin Endosc. 2014;47(4):346-9. 15. Loh KW bR, Toressi J. Chron’s disease ot Tuberculosis. J Travel Med. 2011;18(3):221-3. 16. Sibuea TP, Syam AF, Joewono VD, Simadibrata M. Colonic Tuberculosis and Chronic Diarrhea. Indones J Gastroenterol Hepatol Dig Endosc. 2001;2(2):32-7. 17. Farrill GZ, Castillo JDD, Sanchez CG, Villanue E, Saenz EV, Donoghue JA. Colonic Tuberculosis in an Immunocompetent Patient. International Journal of Surgery Case Report. 2013;4(4):359-61. 18. Pulimood A, Amarapurkar DN, Ghoshal U, Philip M, Pai CG, Real DN, et al. Differentiation of Penyakit Crohn’sFrom Intestinal Tuberculosis in India in 2010. World J Gastroenterol. 2011;17(3):433-43. 19. Oto BT, Fauzi A, Syam AF, Simadibrata M, Abdullah M, Makmun D, et al. Collitis Tuberculosis. Indones J Gastroenterol Hepatol Dig Endosc. 2010;11(3):1-7. 20. Rajabto W, Usman M, Chen K, Syam AF, Abdullah M, Atmakusuma D, Rumende M. Colonic Tuberculosis: A High Index of Suspicion. Indones J Gastroenterol Hepatol Dig Endosc. 2005;6(2). 21. Michalopoulos A, Papadopoulos VN, Panidis S, Papavramidis TS, Chiotis A , Basdanis G. Cecal Obstruction Due to Primary Intestinal Tuberculosis: A Case Series. J Med Case Rep. 2011;128:1-5. 22. Jain AKC, Betty A, Mohan LN. Tuberculosis of Ascending Colon Mimicking Carcinoma-A Case Report. SEAJCRR. 2013;2(4):233-6 23. Park YS JD, Kim SH, Lee HH, Jo YJ, Song MH etal. Colonoscopy evaluation after short-term anti-tuberculosis treatment in nonspecific ulcers on the ileocecal area. World J Gastroenterol. 2008;14(32):5051-8. 24. Kusnanto P, Simadibrata M, Syam AF, Fauzi A, Abdullah M, Makmun D, Manan C, Daldiyono, Rani AR, Krisnuhoni E. A 17 Year Man with Collitis Tuberculosis and Fistula Perianal. Indones J Gastroenterol Hepatol Dig Endosc. 2008;9(3):103-6. 25. Chatzicostas C, Koutroubakis IE, Tzardi M, Roussomoustakaki M, Panagiotis P, Kouroumalis EA. Colonic Tuberculosis Mimicking Penyakit Crohn’sCase Report. MNC Gastroenterol. 2002;2(10):1-4. 26. Kirsch R PM. role of colonic biopsy in distingushing between Crohn’s disease and intestinal tuberculosis. jclinpath. 2006;59:840-4. 27. Jin XJ KJ, Kim L, Choi SJ, Park IS, Han JY etal. Histopathology and TB-PCR kit analysis in differentiating the diagnosis of intestinal tuberculosis and Crohn’s disease. Worls J Gastroenterol. 2010;16(20):2496-503. 28. Kohli R PR, Kaushik R, Kundu R, Mohan H. Relative value of immunohistochemistry in detection of mycobacterial antigen in suspected cases of tuberculosis in tissue sections. Indian J Pathol Microbiol. 2014;57(4):574-8. 29. Kokuto H SY, Yoshimatsu , Mizuno K, Yi L, Mitarai S. Detection of mycobacterium tuberculsois (MTB) in fecal specimens from adult doagnosed with pulmonary tuberculosis using the Xpert MTB/ Rifampicin test. Open Forum Infect Dis. 20152(2):1-6. 30. Larsson G ST, Ramasubramanian R et al. Faecal calprotectin level differetiate intestinal from pulmonary tuberculosis:An observational study from Southern India. United European Gastroenterol J. 2014;2(5):397-405. 31. Larsson G SK, Ramasubramanian R, Thayumanavan, Balakumaran, Cvancarova et al. A risk matrix model for the prediction of intestinal Tuberculosis and differentiation from Crohn’s disease. Austin J Gastroenterol. 2015;2(5):1-5. 32. Chen W FJ, Luo W, Peng P, Su SB. Effectiveness of interferon-gamma release assay for differentiating intestinal tuberculosis from Crohn’s disease:A meta-analysis. World J Gastroenterol. 2013;19(44):8133- 40. 33. United European Gastroenterology [Internet]. Kim HI LW, Joo YE, Choi SK, Rew JS. London: UEG. [cited 2016 Feb 13]. Available from: https://www.ueg.eu/education/document/the-value-ofquantiferon-tb-gold-test-in-the-differential-diagnosis-of-intestinaltuberculosis/88648/. 34. Ihama Y HA, Hibiya K, Kihimoto K, nakamoto M, Hirata T etal. Dagnosis of intestinal tuberculisis using a monoclonal antibidy to mycobacterium tuberculosis. World J Gastroenterol. 2012;18(47):6974-80. 35. Rosado E, Penha D, Paixao P, Costa A. Abdominal TuberculosisImaging Findings [Internet]. European Congress of Radiology (ECR) 2013; 2013 March 07 - 11; Vienna, Austria. Available from: http://repositorio.hff.min-saude.pt/bitstream/10400.10/994/1/ ECR2013_TB%20abd.pdf 36. Makharia GK, Srivastava S, Das P, et al. Clinical, Endoscopic and Histological Differentiation between Penyakit Crohn’sand Intestinal Tuberculosis. Am J Gastroenterol Clin. 2010;105(3):642-51. 37. Lee MJ CF, John L, Davidson RN. Diagnosis and treatment strategies of tuberculosis intestinal perforations:A case series. Eur J Gastroenterol Hepatol. 2012;24(5):594-9. 7-55. 38. JY Lee. Diagnosis and treatment of extrapulmonary Tuberculosis. Tuberc Respir Dis (Seoul). 2015;78(2):4

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.