Nzarubara G R
Department of Anatomy Makerere University Medical School, Kampala, Uganda.
East Afr Med J. 1998 Feb;75(2):124-6.
Nine cases of gastrointestinal tract tuberculosis seen by the author in 1995/96 are reported. In all the patients, the final diagnosis could only be established histologically. Pre-operative clinical examination and investigations had suggested otherwise. Six of these patients were HIV positive. This communication suggests that immunocompromised individuals are at increased risk of gastrointestinal tuberculosis. Clinicians, therefore, should bear in mind possible co-existence of gastrointestinal tract (GIT) tuberculosis and HIV when dealing with patients suffering from gastrointestinal tract diseases of unknown origin.
本文报告了作者在1995/96年期间所见的9例胃肠道结核病例。所有患者均只能通过组织学检查确诊，术前临床检查及各项检查结果却另有提示。其中6例患者HIV检测呈阳性。本报告表明，免疫功能低下者患胃肠道结核的风险更高。因此，临床医生在诊治病因不明的胃肠道疾病患者时，应考虑到胃肠道结核与HIV感染可能并存的情况。
