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Pancolitis due to Tuberculosis Masquerading as Inflammatory Bowel Disease in a 43-Year-Old Woman: Diagnostic Challenges in a Resource-Limited Setting-A Case Study and Literature Review From Ethiopia.

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Tests and monitoring Azathioprine Antibiotics Immunomodulators Abdominal Pain Diarrhea Weight Loss Vomiting

Why This Matters

Misdiagnosing GI tuberculosis as Crohn’s disease can lead to harmful immunosuppression and disseminated infection; conversely, missing IBD may delay appropriate therapy. Patients in TB-endemic areas face particular diagnostic uncertainty that can change treatment choices.

Who Should Pay Attention

Clinicians (gastroenterologists, infectious disease physicians, primary care providers) working in TB-endemic or resource-limited settings; adult patients with suspected IBD or atypical colitis; caregivers and diagnosticians.

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

The article highlights the diagnostic overlap between colonic TB and IBD in TB-endemic, resource-limited settings. Endoscopic biopsies may miss submucosal granulomas, so deeper sampling and multiple modalities (radiology, cytology, molecular/culture testing) are important before starting immunosuppression.

The authors recommend pretreatment TB screening and a strictly time-limited empirical anti-TB trial when needed, with objective re-evaluation (including repeat endoscopy and biopsy) at around 8 weeks. This report does not provide generalizable outcome data — it is a single-case report emphasizing diagnostic caution rather than treatment efficacy evidence.

It is grounded in the article’s abstract and case description.

Keep In Mind

This is a single case report from a TB-endemic setting; recommendations reflect the authors’ experience and review rather than results from controlled studies. The extracted content is from the article abstract (structured content depth: abstract).

Source Details

Review the original publication for the complete reporting, methods, and context.

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Research paper Evidence type derived from source or registry metadata.
PublicationCase reports in gastrointestinal medicine
AuthorsAlemayehu Abebe Guji, Gashahun Mekonnen Dissassa, Melese Abere Gizaw +3 more
InstitutionDepartment of Internal Medicine Jimma University Jimma Oromia Ethiopia ju.edu.et.
Study typeJournal article
Indexed viaPubMed
Source typeResearch paper
PublishedNov 1, 2026, 12:00 AM
Content availableJournal abstract

Conflict statement: The authors declare no conflicts of interest.

This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.

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