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Asymptomatic Tuberculosis-Induced Ileal Perforation in an HIV- Infected Individual; A Case Report | ||
Bulletin of Emergency And Trauma | ||
مقاله 12، دوره 1، Issue 4، دی 2013، صفحه 182-185 اصل مقاله (870 K) | ||
نوع مقاله: Case Report | ||
نویسندگان | ||
Sedigheh Tahmasebi1؛ Sam Moslemi* 2؛ Maryam Tahamtan3؛ Lohrasb Taheri2؛ Mohammad Ali Davarpanah3 | ||
1Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran | ||
2General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran. | ||
3Department of Internal medicine, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran | ||
چکیده | ||
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. | ||
کلیدواژهها | ||
Tuberculosis؛ Intestinal perforation؛ Human Immunodeficiency Virus (HIV)؛ Acquired Immune Deficiency Syndrome (AIDS) | ||
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