Abstract：
The misdiagnosis of intestinal tuberculosis (ITB), such as Crohn\'s disease (CD), and subsequent treatment with immunosuppressive therapies can lead to severe outcomes. However, the differential diagnosis between these two conditions can be challenging. We herein report a patient from Myanmar who was initially diagnosed with CD due to the presence of non-caseating granulomas. The patient\'s symptoms were aggravated with steroid treatment, eventually leading to a diagnosis of ITB. In the international medical community, we encounter patients from countries, such as Myanmar, where tuberculosis is endemic. Therefore, it is necessary to understand the epidemiological background of each country to accurately distinguish between CD and ITB.
摘要：
肠结核（ITB）的误诊，如克罗恩病（CD），随后的免疫抑制治疗可导致严重的结局.然而,这两种情况之间的鉴别诊断可能具有挑战性。我们在此报告了一名来自缅甸的患者，该患者最初因非干酪性肉芽肿而被诊断为CD。患者的症状因类固醇治疗而加重，最终导致ITB的诊断。在国际医学界，我们遇到来自国家的病人，比如缅甸,结核病是地方性的。因此,有必要了解每个国家的流行病学背景，以准确区分CD和ITB。
