Bascuñana A, Torres Tortosa M, Pérez Pérez M, López Cano A, Rendón P, Pérez Millán E
Servicio de Medicina Interna, Hospital del Servicio Andaluz de Salud, Cádiz.
Med Clin (Barc). 1990 Sep 8;95(7):259-61.
Five cases of tuberculous abdominal abscesses in patients with acquired immunodeficiency syndrome (AIDS) are reported. They were localized in pelvic retroperitoneum (2 cases), peripancreatic area, abdominal rectus anterior muscle, and were multiple in the remaining patient. All patients had presented with sustained fever and dull pain in the abscess area. In four patients this was the disease that led to the diagnosis of AIDS. The cultures from several sources (sputum, urine, cerebrospinal fluid, lymphadenopathy) revealed that the tuberculous abscess was a part of disseminated tuberculosis. Two patients were treated with surgical drainage and the other three with percutaneous drainage under echographic control. Two patients died from disseminated tuberculosis. It is pointed out that this form of tuberculosis in AIDS patients may be more common than previously reported.
报告了5例获得性免疫缺陷综合征(AIDS)患者的结核性腹部脓肿病例。脓肿位于盆腔腹膜后(2例)、胰周区域、腹直肌前,其余1例为多发。所有患者均有持续发热及脓肿部位钝痛。4例患者以此疾病导致AIDS的诊断。来自多个来源(痰液、尿液、脑脊液、淋巴结病)的培养显示结核性脓肿是播散性结核的一部分。2例患者接受手术引流,另外3例在超声引导下经皮引流。2例患者死于播散性结核。指出AIDS患者中这种形式的结核可能比以前报道的更常见。