Your browser doesn't support javascript.
loading
Tuberculosis gastrointestinal como causa de hemorragia digestiva masiva en un paciente con infección por VIH / Gastrointestinal tuberculosis as a cause of massive gastrointestinal bleeding in a patient with HIV infection
Chincha, Omayra; Cáceres, Jaime; Seas, Carlos.
  • Chincha, Omayra; Universidad Peruana Cayetano Heredia. Hospital Cayetano Heredia. PE
  • Cáceres, Jaime; Universidad Peruana Cayetano Heredia. Hospital Cayetano Heredia. PE
  • Seas, Carlos; Universidad Peruana Cayetano Heredia. Hospital Cayetano Heredia. PE
Rev. chil. infectol ; 34(4): 393-396, ago. 2017. graf
Article in Spanish | LILACS | ID: biblio-899731
RESUMEN
Resumen La tuberculosis (TBC) gastrointestinal es una complicación infrecuente y fatal en pacientes con infección por VIH. Se presenta en 3-16% de las formas extrapulmonares y su principal localización es la válvula ileocecal y colon. La hemorragia digestiva baja con presencia de una o múltiples úlceras en colon es una presentación muy inusual de TBC intestinal. El diagnóstico se confirma por biopsia y cultivo del tejido intestinal. La cirugía en caso de perforación intestinal sigue siendo el tratamiento de elección. Se presenta el caso de un paciente con infección por VIH, sin tratamiento anti-retroviral, quien desarrolló una TBC diseminada con perforación intestinal y hemorragia digestiva masiva de curso fatal.
ABSTRACT
Gastrointestinal tuberculosis is a rare and fatal complication in patients with HIV infection. It occurs in 3%-16% of extra pulmonary forms. The main location in 90% of cases is the ileocecal valve and colon. The most unusual presentation of gastrointestinal tuberculosis is massive bleeding with the presence of one or multiple ulcers in the colon. The diagnosis can be confirmed by biopsy and by culture of intestinal tissue. Surgical resection is the treatment of choice. We report a case of a HIV-infected patient, who did not receive antiretrovirals, and who developed disseminated tuberculosis with intestinal perforation, presenting a fatal massive intestinal bleeding.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Tuberculosis, Gastrointestinal / AIDS-Related Opportunistic Infections / Gastrointestinal Hemorrhage Type of study: Etiology study Limits: Adult / Humans / Male Language: Spanish Journal: Rev. chil. infectol Journal subject: Communicable Diseases Year: 2017 Type: Article Affiliation country: Peru Institution/Affiliation country: Universidad Peruana Cayetano Heredia/PE

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Tuberculosis, Gastrointestinal / AIDS-Related Opportunistic Infections / Gastrointestinal Hemorrhage Type of study: Etiology study Limits: Adult / Humans / Male Language: Spanish Journal: Rev. chil. infectol Journal subject: Communicable Diseases Year: 2017 Type: Article Affiliation country: Peru Institution/Affiliation country: Universidad Peruana Cayetano Heredia/PE