Nos P, Ricart C, García E, Moles J R, Lacruz J, Berenguer J
Servicio de Medicina Digestiva, Hospital La Fe, Valencia.
Rev Esp Enferm Dig. 1992 Jul;82(1):59-60.
We report a case of mesenteric tuberculosis. Two painful abdominal masses and fever were the first manifestation of disease. Diagnosis was obtained by aspirative punction of a mesenteric adenopathy guided by ultrasonography. AIDS risk factors were not recognized by anamnesis but serum HIV antibodies were detected. Thus, extrapulmonary tuberculosis and the finding of HIV-Ab confirmed the diagnosis of AIDS in our patient. It is necessary to assay for HIV-Ab in extrapulmonary tuberculosis, especially when mesenteric tuberculosis is present.
我们报告一例肠系膜结核病例。两个腹部疼痛性肿块和发热是该病的首发表现。通过超声引导下对肠系膜淋巴结进行穿刺抽吸获得诊断。病史中未发现艾滋病危险因素，但检测到血清HIV抗体。因此，肺外结核及HIV抗体阳性确诊了我们这位患者的艾滋病。在肺外结核，尤其是存在肠系膜结核时，有必要检测HIV抗体。
