[Cecal tuberculosis: the importance of a high diagnostic suspicion]. / Tuberculosis cecal: la importancia de una alta sospecha diagnóstica.

Intestinal tuberculosis is less common than pulmonary tuberculosis. Its clinical and endoscopic features are nonspe-cific, so diagnostic suspicion must be high in order to make an early diagnosis and prevent iatrogenia. Pharmacotherapy is often effective, with an excellent clinical and endoscopic evolution. Surgical treatment is reserved for complications. We present the case of cecal tuberculosis diagnosed endoscopically; this is the second case diagnosed in a few months in our center. In this case there were no risk factors, such as recent travel, risk of contacts or inmunosupression.

Tuberculosis cecal: la importancia de una alta sospecha diagnóstica / Cecal tuberculosis: the importance of a high diagnostic suspicion

La tuberculosis intestinal es mucho menos frecuente que la pulmonar. Además, tanto su presentación como el aspecto endoscópico son muy variados, de modo que la sospecha diagnóstica debe ser elevada para un diagnóstico precoz y para evitar la posible yatrogenia. Con el tratamiento antituberculoso convencional la evolución, tanto clínica como endoscópica, suele ser excelente, quedando la cirugía relegada como tratamiento para las complicaciones. Presentamos un caso de tuberculosis cecal diagnosticada endoscópicamente, la segunda diagnosticada en unos meses en nuestro centro. En este caso no había factores de riesgo como viajes recientes, contactos con infectados ni toma de fármacos inmunosupresores (AU)

Intestinal tuberculosis is less common than pulmonary tuberculosis. Its clinical and endoscopic features are nonspecific, so diagnostic suspicion must be high in order to make an early diagnosis and prevent iatrogenia. Pharmacotherapy is often effective, with an excellent clinical and endoscopic evolution. Surgical treatment is reserved for complications. We present the case of cecal tuberculosis diagnosed endoscopically; this is the second case diagnosed in a few months in our center. In this case there were no risk factors, such as recent travel, risk of contacts or inmunosupression (AU)