Midiri G, Urbano V, Lombardi A, Covotta A, Tesoriere A, Covotta L, Rossi F, Magliocca F, Petrozza V, Pulvirenti S
IV Semeiotica Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1993 Apr-May;14(4-5):227-30.
The authors report a case of HIV-1 infection, primary miliary tuberculosis of the lung and secondary intestinal tuberculosis complicated with multiple intestinal perforations. The surgical emergency therapy, supported by specific antitubercular drugs, antibiotics, and total parenteral nutrition, consisted in suturing seven perforative sites of the small and large intestine. The Authors stress the possibility that in the future tubercular complications up till now considered atypical may become more and more frequent because of the HIV-1 infection association.
作者报告了一例HIV-1感染、原发性粟粒性肺结核和继发性肠结核合并多处肠穿孔的病例。在特异性抗结核药物、抗生素和全胃肠外营养的支持下,外科急诊治疗包括缝合小肠和大肠的七个穿孔部位。作者强调,由于与HIV-1感染相关,迄今被认为非典型的结核并发症在未来可能会越来越频繁。