CONCLUSION
ITB and CD are similar chronic granulomatous diseases, posing a real
diagnostic problem. We reported two observations showing an initial
diagnostic error in the context of inflammatory ileo-colitis which was
almost fatal for our patients due to the spread of tuberculosis after
corticosteroid therapy. It is essential to differentiate the 2
pathologies because of the therapeutic implications of CD, which can
lead to an explosion of tuberculosis symptoms. To date, the diagnosis of
ITB remains difficult to achieve in Madagascar. Treatment of ITB should
be medical and conservative. Only the complicated forms should resort to
surgery.