Unusual multisystem tuberculosis in a patient with immunosuppression due to HIV: a case report
DOI:
https://doi.org/10.24265/horizmed.2022.v22n2.11Keywords:
Tuberculosis , HIV , HIV infectionsAbstract
Tuberculosis is an infectious disease widely spread around the world and is the leading cause of death among people living with human immunodeficiency virus (HIV). Multisystem tuberculosis occurs more frequently in patients with HIV coinfection, and its clinical presentation may be related to the patient’s immunosuppression level. We report the case of a 19-year-old male patient with immunosuppression due to HIV with unusual multisystem tuberculosis affecting the respiratory, digestive and urinary systems. Treatment and etiological factors are described and discussed, and the importance of a prompt multidisciplinary diagnosis and management is highlighted.
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Tiberi S, Carvalho ACC, Sulis G, Vaghela D, Rendon A, Mello FCdQ, et al. The cursed duet today: Tuberculosis and HIV-coinfection. Presse Med. 2017; 46(2Pt2): e23-39.
Lombardi R, Pelusi S, Airaghi L, Fargion S. Extrapulmonary tuberculosis: an unusual presentation in an immunocompetent patient. BMJ Case Rep. 2015; 2015: bcr2014207146.
Sandrino-Sánchez M, Muñoz MM, Díaz LBW. Tuberculosis extrapulmonar. Presentación de un caso. Medisur. 2015; 13(3): 442-7.
Kaur A, Kucheria M, Gupta R, Thami GP, Kundu R. Extensive multisystemic disseminated tuberculosis in an immunocompetent patient. J Clin Aesthet Dermatol. 2018; 11(9): 42-6.
Fanosie A, Gelaw B, Tessema B, Tesfay W, Admasu A, Yitayew G. Mycobacterium tuberculosis complex and HIV co-infection among extrapulmonary tuberculosis suspected cases at the University of Gondar Hospital, Northwestern Ethiopia. PLoS One. 2016; 11(3): e0150646.
Gounden S, Perumal R, Magula NP. Extrapulmonary tuberculosis in the setting of HIV hyperendemicity at a tertiary hospital in Durban, South Africa. S Afr J Infect Dis. 2018; 33(3): 57-64.
Arpagaus A, Franzeck FC, Sikalengo G, Ndege R, Mnzava D, Rohacek M, et al. Extrapulmonary tuberculosis in HIV-infected patients in rural Tanzania: the prospective Kilombero and Ulanga antiretroviral cohort. PLoS One. 2020; 15(3): e0229875.
Garg R, Verma SK, Mehra S, Srivastawa AN. Parotid tuberculosis. Lung India. 2010; 27(4): 253-5.
Leeds IL, Magee MJ, Kurbatova EV, del Rio C, Blumberg HM, Leonard MK, et al. Site of extrapulmonary tuberculosis is associated with HIV infection. Clin Infect Dis. 2012; 55(1): 75-81.
Centros para el Control y la Prevención de Enfermedades. Acerca del VIH/SIDA [Internet]. CDC; 2021. Disponible en: https://www.cdc.gov/hiv/spanish/basics/whatishiv.html
Singh N, Kumar L, Singh DN, Kumar V. Frequency of opportunistic infection in PL HIV and its role in monitoring of ART 1 failure. Int J Adv Med. 2020; 7(7): 1165-72.
Vaillant AAJ, Naik R. HIV-1 Associated opportunistic infections [Internet]. StatPearls; 2021. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK539787/
Ministerio de Salud. Norma técnica de salud de atención integral del adulto con infección por el virus de la inmunodeficiencia humana (VIH) [Internet]. Lima: Minsa; 2018. Disponible en: http://bvs.minsa.gob.pe/local/MINSA/4479.pdf
Fauci AS, Folkers GK, Lane HC. Enfermedad por el virus de la inmunodeficiencia humana: sida y trastornos relacionados. In: Jameson JL, Fauci AS, Kasper DL, Hauser SL, Longo DL. Loscalzo J, eds. Harrison Principios de Medicina Interna. 20a ed. México. New York, NY: Mc Graw-Hill Education; 2018.
Ortiz-Medina MB, Perea M, Torales J, Ventriglio A, Vitrani G, Aguilar L, et al. Cannabis consumption and psychosis or schizophrenia development. Int J Soc Psychiatry. 2018; 64(7): 690-704.
Bruchfeld J, Correia-Neves M, Källenius G. Tuberculosis and HIV coinfection. Cold Spring Harb Perspect Med. 2015; 5(7): a017871.
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