Sebastian Saji, Jose Tony, Kumar K Sunil, Thomas Varghese
Department of Gastroenterology, Calicut Medical College Hospital, Calicut, Kerala, India.
Trop Gastroenterol. 2008 Apr-Jun;29(2):110-1.
Tuberculosis may involve any region of the gastrointestinal tract but involvement of the rectum is rare. The literature concerning rectal tuberculosis in AIDS patients is limited. We report the case of rectal tuberculosis mimicking malignancy, both clinically and endoscopically, in an AIDS patient. Histopathology confirmed the diagnosis. Treatment was initiated with antituberculous drugs and highly active antiretroviral therapy (HAART). The patient developed drug-induced hepatitis, his general condition deteriorated and he finally succumbed to his illness.
结核病可累及胃肠道的任何部位，但直肠受累罕见。关于艾滋病患者直肠结核的文献有限。我们报告一例艾滋病患者，其直肠结核在临床和内镜检查中均酷似恶性肿瘤。组织病理学确诊了该诊断。开始采用抗结核药物和高效抗逆转录病毒疗法（HAART）进行治疗。患者出现药物性肝炎，全身状况恶化，最终因病死亡。
