Abstract

TAPIAS-VARGAS, Luis Felipe; SANTAMARIA, Claudia Marcela; TAPIAS-VARGAS, Leonidas  and  TAPIAS, Leonidas. Perforation of the terminal ileum and cecum caused by tuberculosis in an hiv positive patient. rev. colomb. cir. [online]. 2010, vol.25, n.4, pp.332-340. ISSN 2011-7582.

Tuberculosis is one of the most prevalent infectious diseases, most frequent in its pulmonary presentation. However, due to the increase in HIV infection, the population getting older, the increase in the use of immunosuppressive drugs, immigration from endemic areas, and the appearance of resistant strains of M. tuberculosis, there has been a rise in the rate of extrapulmonary presentations. Among the extrapulmonary presentations, abdominal and gastrointestinal tuberculosis are rare and usually present with nospecific symptoms, and diagnosis is then achieved through imaging and invasive methods that allow tissue sampling. Perforation as a complication of intestinal tuberculosis is even less frequent. We report the case of a 51-year-old HIV-positive male patient with intestinal tuberculosis who developed perforation of the terminal ileum and cecum resulting in his death.

Keywords : Mycobacterium tuberculosis; tuberculosis; gastrointestinal; HIV infections; intestinal perforation; peritonitis.

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