Gastroenterology

Gastroenterology

Volume 154, Issue 8, June 2018, Pages e7-e8
Gastroenterology

Electronic Clinical Challenges and Images in GI
Unfolding the Diagnosis: Rare Endoscopic Features of Unusual Cause of Colitis

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Answer to: Image 4: Multifocal Systemic Tuberculosis

Biopsies taken from the colon revealed severe chronic inflammation and epithelioid granuloma with giant cell compatible with tuberculous infection (Figure D). Acid-fast staining was negative. Bronchoalveolar lavage revealed positive acid-fast staining bacteria. Thus, the patient was diagnosed with multifocal systemic TB, she was treated with a regimen of four antituberculous agents and was referred to a TB isolation center for continuous treatment. After treatment, the patient reported a

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There are more references available in the full text version of this article.

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Conflicts of interest The authors disclose no conflicts.

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