Euroasian journal of hepato-gastroenterology

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VOLUME 14 , ISSUE 1 ( January-June, 2024 ) > List of Articles


Colonoscopy Findings of Uncomplicated Enteric Fever Mimicking Koch's Disease

Anushka Verma, Amol S Dahale, Prashant Gopal, Suruchi Mandrekar, Reshu Aggrawal, Nanda Kachare

Keywords : Colonoscopy, Enteric fever, Tuberculosis

Citation Information : Verma A, Dahale AS, Gopal P, Mandrekar S, Aggrawal R, Kachare N. Colonoscopy Findings of Uncomplicated Enteric Fever Mimicking Koch's Disease. Euroasian J Hepatogastroenterol 2024; 14 (1):120-123.

DOI: 10.5005/jp-journals-10018-1417

License: CC BY-NC 4.0

Published Online: 12-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Enteric fever is a common occurrence in Southeast Asia with a myriad of presentations. Partial treatment often leads to prolonged illness. Along with this, bowel imaging often confounds the picture with tuberculosis. Colonoscopy and biopsy may help to differentiate from tuberculosis. The data on colonoscopy is scarce in enteric fever and is mostly available from case reports of gastrointestinal (GI) bleeding. We have described three cases of enteric fever with GI involvement mimicking tuberculosis. The colonoscopy picture is characteristic of pinkish-bluish ileal mucosa, with edema and decreased distensibility, along with multiple superficial ulcers. The ileocecal valve was involved in all three cases. The ascending colon was involved in two cases. There was complete resolution of lesions after treatment on follow-up.

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