ABSTRACT
We report the case of a 41 year-old male who came to the emergency room with a complaint of abdominal pain, and was diagnosed to have an acute obstructive abdomen due to a right inguinal hernia incarceration. During surgery, an intestinal granulomatous inflammation was observed adhered to the hernial sac. The histopathologic study confirmed the diagnosis of tuberculosis. We present a review of the different clinical forms of intestinal tuberculosis and the difficulties encounted in the differential diagnosis of such, emphasizing the uncommon presentation described in our patient.
Subject(s)
Humans , Male , Adult , Tuberculosis, Gastrointestinal/complications , Granuloma/pathology , Hernia, Inguinal/complications , Abdomen, Acute/etiology , Intestinal Diseases/pathology , Tuberculosis, Gastrointestinal/surgery , Tuberculosis, Gastrointestinal/pathology , Hernia, Inguinal/surgery , Hernia, Inguinal/diagnosis , Abdomen, Acute/surgery , Abdomen, Acute/diagnosisABSTRACT
O Calazar é uma doença endêmica no Brasil, principalmente nos estados do nordeste. Eventualmente podem aparecer casos em estados como Säo Paulo, apresentando-se como formas clínicas näo usuais. Neste trabalho analisou-se retrospectivamente quatro casos confirmados que foram internados no Hospital Municipal de Santo André. Analisaram-se aspectos da apresentaçäo clínica e terapêutica. Avaliaram-se os efeitos colaterais do N-Metil glucamina (Glucantime), como piora da leucopenia e até a possibilidade de morte súbita