Bustamante-Sarabia Jorge, Núñez-Camacho Jesús Carlos, Juárez-Rabadán Sócrates, Castro-Campos Aureo Angel, Zúñiga-Andrade Rodolfo, Arellano Chepetla Isabel
Departamento de Anatomía Patológica de la Unidad Académica de Medicina de la Universidad Autónoma de Guerrero.
Rev Gastroenterol Mex. 2007 Jan-Mar;72(1):47-51.
We present the clinical case of a 28-year old male with pulmonary and extrapulmonary tuberculosis in absence of HIV infection; who also presented a left iliac psoas abscess of torpid evolution simulating an strangulated hernia and died of a sepsis due to colonic perforations by anaerobics and E. histolytica.
Histological sections of the autopsy were studied with hematoxilin-eosin, Gram and Ziehl-Neelsen stains.
Autopsy study showed bilateral cavitated tuberculosis, Pott disease of thoracic spine and a cold tuberculous abscess on both psoas muscle and the lower third of the left thigh. Descending colonic perforation were identified, the responsible microorganism were Staphylococcus albus, Klebsiella sp, and E. coli.
我们报告一例28岁男性临床病例，该患者无人类免疫缺陷病毒（HIV）感染，患有肺和肺外结核；还出现了进展缓慢的左髂腰肌脓肿，形似绞窄性疝，并因厌氧菌和溶组织内阿米巴导致的结肠穿孔引起败血症而死亡。
尸检的组织切片用苏木精-伊红、革兰氏和齐-尼氏染色进行研究。
尸检研究显示双侧空洞性结核、胸椎波特氏病以及双侧腰大肌和左大腿下三分之一处的寒性结核脓肿。发现降结肠穿孔，致病微生物为白色葡萄球菌、克雷伯菌属和大肠杆菌。
