| Revista: | The brazilian journal of infectious diseases |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000291052 |
| ISSN: | 1413-8670 |
| Autores: | Barone, Bianca1 Kreuzig, Patricia Lago Gusmao, Patricia Medeiros Chamie, Daniel Bezerra, Sabrina Pinheiro, Pedro Coscarelli, Pedro Paiva, Daurita Fonseca, Leila de Souza2 Marsico, Anna3 Cirigliano, Andre Perez, Mario |
| Instituciones: | 1Universidade do Estado do Rio de Janeiro, Hospital Universitario Pedro Ernesto, Rio de Janeiro. Brasil 2Universidade Federal do Rio de Janeiro, Instituto de Microbiologia, Rio de Janeiro. Brasil 3Universidade Federal do Rio de Janeiro, Instituto de Doencas Toracicas, Rio de Janeiro. Brasil |
| Año: | 2006 |
| Periodo: | Abr |
| Volumen: | 10 |
| Número: | 2 |
| Paginación: | 149-153 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Experimental |
| Resumen en inglés | We describe a case of a male patient, 38 years old, HIV-positive (most recent CD4 count about 259/mm³), with abdominal pain, nausea, vomiting, anorexia, weight loss, and vespertine high fever with chills. His hemogram showed normocytic and normochromic anemia, with a high erythrocyte sedimentation rate (ESR) and gross granulations in the neutrophils. Transaminases were normal. Bone marrow biopsy evidenced a chronic disease anemia pattern and a lack of infectious agents. Abdominal ultrasound examination showed a normal-size spleen, which exhibited heterogeneous parenchyma and multiple small hypoechoic images, together with small ascites, peripancreatic and para-aortic lymphadenopathy. These findings were confirmed by abdominal CT. The liver was normal in size, but had a hyperechoic image, which was not visualized on CT. Histopathological analysis of one of the multiple abdominal lymph nodes obtained by laparoscopic biopsy exhibited a chronic granulomatous inflammatory process, with caseous necrosis. Tissue sections were positive for BAAR (acid-alcohol-resistant bacillus), and the cultures were positive for Mycobacterium tuberculosis. Anti-tuberculosis treatment was begun, and the patient evolved with improvement of his general state, fever remission and weight gain. Splenic tuberculosis is a rare disease, occurring predominantly in patients in late stages of AIDS and/or disseminated tuberculosis. It is a difficult diagnosis, since there are no specific findings. Hence, complementary examinations, such as abdominal ultrasound.. |
| Disciplinas: | Medicina |
| Palabras clave: | Microbiología, Neumología, Terapéutica y rehabilitación, Inmunología, Tuberculosis, VIH, Tratamiento |
| Keyword: | Medicine, Microbiology, Pneumology, Therapeutics and rehabilitation, Immunology, Tuberculosis, HIV, Treatment |
| Texto completo: | Texto completo (Ver HTML) |
