A case of intestinal perforation due to intestinal tuberculosis complicated with acquired immunodeficiency syndrome and relevant literature review

doi:10.3877/cma.j.issn.1674-1358.2021.02.011

Abstract

Abstract:

Objective

To investigate the treatment of intestinal perforation due to intestinal tuberculosis in a patient with acquired immunodeficiency syndrome (AIDS).

Methods

The diagnosis and treatment of a case of intestinal perforation due to intestinal tuberculosis complicated with AIDS were analyzed. The relevant literatures were reviewed.

Results

On December 28, 2017, a 43-year-old female AIDS patient with CD4⁺ T as 15 cells/μl was admitted to Zhongnan Hospital of Wuhan University due to intermittent fever. On the next day after hospitalization, emergency treatment of "exploratory laparotomy + partial ileum resection + terminal-terminal anastomosis" were performed to the case of intestinal perforation. The pathological specimen showed intestinal tuberculosis. After anti-infection and comprehensive symptomatic treatment, the condition of the case relieved and the prognosis was relatively well.

Conclusions

The conservative treatment of AIDS patients with intestinal perforation failed, accompanied by persistent symptoms and (or) development of sepsis. Although the CD4⁺ T count was low, timely surgical intervention, effective postoperative anti-infection, anti-tuberculosis and initiation of antiretroviral therapy at the right moment could improve the prognosis.

Key words: Acquired immunodeficiency syndrome, Intestinal tuberculosis, Intestinal perforation

Yingying Zhou, Jun Luo, Sufang Tian, Yong Xiong. A case of intestinal perforation due to intestinal tuberculosis complicated with acquired immunodeficiency syndrome and relevant literature review[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2021, 15(02): 133-137.

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References 25

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