Rectal tuberculosis in an HIV-infected patient: case report

The gastrointestinal (GI) tract has been increasingly affected by tuberculosis, especially in immunocompromised patients. Although strict rectal involvement is rare, the GI site mostly affected is the ileocecal region. Thus, tuberculosis should always be considered in the differential diagnosis of p...

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Bibliographic Details
Published in:Autopsy & case reports 2014-09, Vol.4 (3), p.65-69
Main Authors: Baylon, Simone Cristina, de Barros, Marcos Dos Santos Vieira, Christiano, Celso Guilherme, Lovisolo, Silvana Maria, Rosa, Vladimir Mulele Pinto Santa
Format: Article
Language:English
Subjects:
Acquired Immunodeficiency Syndrome
Artigo / Relato de Caso Clínico
Clinical Case Reports
Diarrhea
Proctitis
Tuberculosis
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Summary:The gastrointestinal (GI) tract has been increasingly affected by tuberculosis, especially in immunocompromised patients. Although strict rectal involvement is rare, the GI site mostly affected is the ileocecal region. Thus, tuberculosis should always be considered in the differential diagnosis of perianal and rectal lesions, and more so in patients infected by the HIV virus. The authors report the case of a 32-year-old man presenting a long-term history of fever, night sweats, weight loss, bloody diarrhea, fecal incontinence, tenesmus, and rectal pain. HIV serology was positive. The patient underwent anoscopy and biopsy, which disclosed the diagnosis of rectal tuberculosis. Thus the patient was referred to an outpatient clinic to follow the standard treatment.
ISSN:2236-1960
2236-1960
DOI:10.4322/acr.2014.031