Mycobacterial Diseases
Open Access
ISSN: 2161-1068
+44 1478 350008
ISSN: 2161-1068
+44 1478 350008
Miguel F Carrascosa
Hospital of Laredo,
Avda Derechos Humanos s/n, 39770 Laredo, Cantabria
Spain
Case Report
Intestinal Tuberculosis as First Manifestation of Human Immunodeficiency Virus (HIV) Infection. A Single History Snapshot
Author(s): Miguel F Carrascosa, José R Salcines-Caviedes, Juan M Corral-Mones, Javier Gómez-Román and Marta Cano-HozMiguel F Carrascosa, José R Salcines-Caviedes, Juan M Corral-Mones, Javier Gómez-Román and Marta Cano-Hoz
A 33-year-old man was admitted in 1999 because of abdominal pain, fever, and weight loss. After a presumptive diagnosis of acute complicated appendicitis, laparotomy was carried out. Since cecum and terminal ileum showed a `carcinomatous appearance´ ileocecal resection and right hemicolectomy were performed. Pathological assessment revealed the presence of acid-fast bacilli which were later identified as Mycobacterium tuberculosis. There was no evidence of neoplasia. As the patient had been intravenous drug user and had absolute lymphopenia, Human Immunodeficiency Virus serology was requested after surgery, with the result being positive. The patient was placed on standard antituberculous therapy and was discharged. However, he decided to stop quickly the treatment and was readmitted 3 month after discharge because of fever and cervical lymphadenitis. Culture of a neck lymph nod.. View More»
DOI:
10.4172/2161-1068.1000141