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M9490128.TXT
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1994-09-03
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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
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).