Acea Nebril B, Rosales Juega D, Prada Puentes C, Arnal Monreal F, Gómez Freijoso C
Servicio de Cirugía General A, Hospital Juan Canalejo, La Coruña.
Rev Esp Enferm Dig. 1998 May;90(5):369-71.
Patients with AIDS are particularly susceptible to tuberculosis infection with a high incidence of extrapulmonary disease and surgical complications. Authors describe a 38-year-old male infected with the human immunodeficiency virus who presented intestinal perforation due to mycobacterium tuberculosis. A resection of jejunum was performed with primary anastomosis. The postoperative course was further compromised by hepatic failure and the patient died 16 days after the initial surgery.
艾滋病患者特别容易感染结核病,肺外疾病和手术并发症的发生率很高。作者描述了一名38岁感染人类免疫缺陷病毒的男性,因结核分枝杆菌导致肠穿孔。进行了空肠切除术并一期吻合。术后病程因肝功能衰竭而进一步恶化,患者在初次手术后16天死亡。