Disseminated Tuberculosis in An AIDS/HIV-Infected Patient
-
Zahra Abdi-Liae
,
Pardis Moradnejad
,
Neda Alijani
,
Hamide Khazraiyan
,
Sedigeh Mansoori
,
Naseh Mohammadi
Abstract
Disseminated tuberculosis (TB) is commonly seen in HIV-infected patients and is major cause of death in these patients. In HIV-infected patients disseminated tuberculosis is frequently undiagnosed or misdiagnosed. In this article we report a case of disseminated TB in a HIV-infected patient with a relatively long history of fever and other complaints without definite diagnosis. Diagnosis of disseminated TB was confirmed by bone marrow biopsy and polymerase chain reaction analysis (PCR) of the ascitic fluid. With anti-TB treatment signs and symptoms improved.
Raviglione MC, O’Brien RJ. Tuberculosis.In: Longo DL,KasperDL,Jameson JL, Fauci AS, Hauser SL, Loscalzo J, editors.Harrison’s Priciples of Internal medicine. 18thedition.McGraw Hill 2012;p. 1348-50.
Lucas S B, Hounnou A, Peacock C, Beaumel A, Djomond G, N’ Gbichi JM, Yeboue K, Honde M, Diomande M, Giordano C. et al. The mortality and pathology of HIV infection in a West African city.AIDS 1993;7:1569–79.
Ansari N A, Kombe A H, Kenyon T A, Hone NM, Tappero JW, Nyirenda ST, Binkin Ny, Lucas SB. Pathology and causes of death in a group of 128 predominantly HIV-positive patients in Botswana, 1997– 1998. Int J Tuberc Lung Dis 2002; 6: 55–63.
Patel MN, Beningfield S, Burch V. Abdominal and pericardial ultrasound in suspected extrapulmonary or disseminated tuberculosis.S Afr Med J 2011;101(1):39-42.
Nancoz O, Kherad O, Perrrin E, Hsu C, Lobrinus JA, Nendaz M. Disseminated tuberculosis presenting withpolymorphonuclear effusion and septic shock in an HIVseropositive patient: a case report. J Med Case Reports;4:155
6..Pandit V, Valsalan R, Seshadri S, Bahuleyan S. Disseminated tuberculosis presenting as mesenteric and cerebral abscess in HIV infection: Case report Braz j infectDis 2009;13(5):383-6
Gonzalez-Lopez A, Dronda F, Alonso-Sanz M, Chaves F, Fernandez-Martin I, Lopez-Cubero L. Clinical significance of splenic tuberculosis in patients infected with human immunodeficiency virus. Clin Infect Dis 1997; 24(6):1248-51.
Dos Santos, R.P.; Scheid, K.L.; Goldani, L.Z. Laboratory features for presumptive diagnosis of disseminated tuberculosis in HIV-infected patients. Int J Tuberc Lung Dis 2008;12(11):1340-3.
Lee MP, Chan JW.NgKK,Li PC. Clinical manifestations of tuberculosis in HIV-infected patients. Respirology 2000; 5(4):423-6.
Von Reyn CF, Kimambo S, Mtei L, Arbeit RD, Maro I, Bakari M, Matee M, Lahey T, Adams LV, Black W, Mackenzie T, Lyimo J, Tvaroha S, Waddell R, Kreiswirth B, Horsburgh CR, Pallangyo K. Disseminated tuberculosis in human immunodeficiency virus infection: ineffective immunity, polyclonal disease and high mortality. INT J TUBERC LUNG DIS 2011; 15(8):1087–92.
Hira SK, Dupont HL, Lanjewar DN, Dholakia YN. Sever weight loss: the predominant clinical presentation of tuberculosis in patients with HIV infection in india Natl Med J India 1998;11(6):256-8.
| Files | ||
| Issue | Vol 51, No 8 (2013) | |
| Section | Original Article(s) | |
| Keywords | ||
| Disseminated tuberculosis HIV-infection Intravenous drug user | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
