Document 0128
 DOCN  M9490128
 TI    [Intestinal tuberculosis in patients with and without HIV infection]
 DT    9411
 AU    Martinez Vazquez C; Bordon J; Rivera Gallego A; Rodriguez A; Sopena B;
       de la Fuente J; Baltar J; Servicio de Medicina Interna, Unidad de
       Enfermedades Infecciosas,; Hospital Xeral de Vigo.
 SO    An Med Interna. 1994 Apr;11(4):167-72. Unique Identifier : AIDSLINE
       MED/94318809
 AB    GOAL. To Study the main characteristics of intestinal tuberculosis
       (ITB), comparing patients with and without infection by HIV (HIV and
       non-HIV, respectively). PATIENTS AND METHODS. The clinical records of
       patients diagnosed of this disease in the past five years in our center,
       were retrospectively reviewed. We used as inclusion criteria the
       histological and/or microbiological corroboration of the intestinal
       anatomical piece or the bacteriological and/or histological
       corroboration of tuberculosis at any other location with clinical and
       radiological signs compatible with intestinal affection. Two groups were
       established according to the serological results for HIV: HIV and
       non-HIV. RESULTS. We studied seven cases, three of them infected by the
       HIV. The mean age of HIV patients was 23 years, whereas the mean age of
       non-HIV patients was 49 years. Three non-HIV patients referred pulmonary
       tuberculosis when they were young. The interval between the onset of
       symptoms and the diagnosis in HIV patients was 45 days, ranging in the
       non-HIV patients between one month and four years. All the patients had
       abdominal pain. Six patients, including three HIV, had fever and
       constitutional syndrome. Thoracal radiography showed tuberculosis
       activity, bacteriologically demonstrated, in a HIV patient and in a
       non-HIV patient. Except one HIV-patient, the remainder were
       laparotomized. In all the HIV patients, intestinal tuberculosis was
       suspected upon admission, but this was not the case in the four non-HIV
       patients. CAT was the most useful of all the supplementary explorations
       conducted. Retrospectively, only four laparotomies were justified,
       although before this procedure, four patients were incorrectly oriented,
       one of them infected by the HIV. All the patients showed a good response
       to an specific treatment. CONCLUSIONS. Laparotomy is still a frequent
       diagnostic method. The characteristics of the HIV patients are similar
       to the ones of the non-HIV patients. The main differences are: younger
       ages and shorter time of evolution until diagnosis in the HIV group, and
       evidence of former or current pulmonary tuberculosis in the non-HIV
       group.
 DE    Adult  Comparative Study  English Abstract  Female  Human  *HIV
       Infections/COMPLICATIONS/DIAGNOSIS  Male  Middle Age  *Tuberculosis,
       Gastrointestinal/COMPLICATIONS/DIAGNOSIS/DRUG  THERAPY  JOURNAL ARTICLE

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