Asymptomatic Tuberculosis-Induced Ileal Perforation in an HIV- Infected Individual; A Case Report

Bulletin of Emergency And Trauma

Mohammad Ali Davarpanah³  Sam Moslemi¹  Maryam Tahamtan³  Sedigheh Tahmasebi²  Lohrasb Taheri¹ 

[1] General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran.;Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran;Department of Internal medicine, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran

关键词: Tuberculosis;    Intestinal perforation;    Human Immunodeficiency Virus (HIV);    Acquired Immune Deficiency Syndrome (AIDS);   

DOI  :  

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

The co-existence of acquired immune  deficiency syndrome (AIDS) and tuberculosis is a major cause of morbidity and mortality because of a widespread organ involvement. The gastrointestinal tract is a common site for localization of opportunistic  microorganisms  in AIDS. However, surgical abdominal  emergencies such as intestinal perforation resulted from tuberculosis are uncommon  in these patients. The asymptomatic occurrence of such intestinal perforation has not been reported our knowledge. We represent an HIV and HCV co-infected man with miliary tuberculosis and an incidentally detected free air under  diaphragm in the chest X-ray eventually resulting in exploratory laparotomy which then revealed two tubercular-induced intestinal perforations. It seems that as the tuberculosis is increasing in incidence, mostly due to reactivation in HIV-infected patients especially in developing countries, we should not underestimate its acute abdominal emergencies such as bowel perforation.

【 授权许可】

Unknown