Abdominal Miliary Tuberculosis in a Patient with AIDS: A Case Report

Monica Pop1, Cezar Pop1, Daniela Homorodean2, Corina Itu3, Milena Man1, Monica Goron2, Ruxandra Gherasim1, Georgiana Coroiu3

1); 2) Pneumology Clinic “Leon Daniello; 3) Infectious Diseases Clinic, University of Medicine and Pharmacy “ Iuliu Hatieganu”, Cluj-Napoca

Abstract

We present a 34 year old patient, intravenous drug user, hospitalized with fever, distortion of general status, dry irritating cough, abdominal colicative pains, and we established the diagnosis of HIV infection advanced stage/ AIDS ; his antecedents revealed (August 2000) abdominal tuberculosis not treated during the last 3 months. He presented a pneumonia with neumocystis carinii during hospitalization. Death was due to a colon perforation with secundary peritonitis. Miliary tuberculous lesions in liver, spleen and colon were revealed at necropsy and ( CMV) cytomegalovirus was indentified in necroptic samples also.

Key words

Drugs - Pneumocystis carinii - abdominal miliary tuberculosis - HIV/AIDS infection