Carrasco R, Roig P, Salavert M, Nieto A, Medina E, Sanmartín O
Sección de Enfermedades Infecciosa, Hospital General Universitario, Valencia.
Rev Clin Esp. 1991 Nov;189(8):379-81.
We present a case of disseminated tuberculosis with peritoneal and intestinal involvement in a homosexual patient who presented micronodular fibrosis and was infected by HIV, with an AIDS diagnosis since he had previously presented an esophagitis caused by candida. Diagnosis was made from a sample obtained from an ulcerated lesion from rectum-sigmoid region by colonoscopy, and when stained with Ziehl-Nielsen revealed acid-alcohol resistant bacilli (AARB) identified as M. tuberculosis. The torpid evolution of the process, which was complicated by the uncompensation of the cirrhosis determined the patient's death inspite of treatment. The characteristics of intestinal tuberculosis in HIV infected patients is reviewed.
我们报告一例同性恋患者，其患有播散性结核病，累及腹膜和肠道，出现微小结节性纤维化，且感染了艾滋病毒，因先前曾患念珠菌性食管炎而被诊断为艾滋病。诊断依据是通过结肠镜检查从直肠乙状结肠区域的溃疡性病变获取的样本，经齐-尼氏染色显示有抗酸杆菌（AARB），鉴定为结核分枝杆菌。尽管进行了治疗，但病情进展缓慢，并因肝硬化失代偿而复杂化，最终导致患者死亡。本文对艾滋病毒感染患者肠道结核病的特征进行了综述。
