Autopsy and Case Reports
https://autopsyandcasereports.org/article/doi/10.4322/acr.2014.031
Autopsy and Case Reports
Article / Clinical Case Report

Rectal tuberculosis in an HIV-infected patient: case report

Simone Cristina Baylon; Marcos dos Santos Vieira de Barros; Celso Guilherme Christiano; Silvana Maria Lovisolo; Vladimir Mulele Pinto Santa Rosa

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Abstract

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.
 

Keywords

Tuberculosis, Proctitis, Diarrhea, Acquired Immunodeficiency Syndrome

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Publication date:
01/13/2016

569696b564cc8b5cda711c04 autopsy Articles

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