Korean J Gastrointest Endosc > Volume 36(1); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(1): 31-35.
내시경적 용종절제술 후 발열의 소실을 보인 대장결핵 1예
동국대학교 의과대학 내과학교실
A Case of Febrile Colonic Tuberculosis that Became Defervescence after Colonoscopic Polypectomy
Seong Deuk Baek, M.D., Jung Hyun Lee, M.D., Jung Il Seo, M.D. and Chang Woo Lee, M.D.
Department of Internal Medicine, Dongguk University College of Medicine, Gyeongju, Korea
The clinical manifestations, radiological and endoscopic findings of colonic tuberculosis are non-specific. A diagnosis of colonic tuberculosis is usually difficult because the condition can mimic tumors. Fever occurs in 60∼85% of patients with tuberculosis, which is one of the important signs of disease activity, and usually resolves by the second week after beginning treatment. However, there are some patients who remain febrile beyond a reasonable treatment period or develop fever during treatment. Such cases raise issues, such as cytokine release from tuberculous granuloma, drug induced fever, drug resistance, and drug malabsorption. We encountered a patient with polypoid colonic tuberculosis who presented with prolonged fever after commencing treatment and became defervescence after a colonoscopic polypectomy. We report this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2008;36:31-35)
Key Words: Tuberculosis, Fever, Granuloma, Polypectomy
주요어: 결핵, 발열, 육아종, 용종절제술
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