[Isolated mesenteric tuberculosis as the first manifestation of AIDS].
We report a case of mesenteric tuberculosis. Two painful abdominal masses and fever were the first manifestation of disease. Diagnosis was obtained by aspirative punction of a mesenteric adenopathy guided by ultrasonography. AIDS risk factors were not recognized by anamnesis but serum HIV antibodies were detected. Thus, extrapulmonary tuberculosis and the finding of HIV-Ab confirmed the diagnosis of AIDS in our patient. It is necessary to assay for HIV-Ab in extrapulmonary tuberculosis, especially when mesenteric tuberculosis is present.
Nos
P
P
Servicio de Medicina Digestiva, Hospital La Fe, Valencia.
Ricart
C
C
García
E
E
Moles
J R
JR
Lacruz
J
J
Berenguer
J
J
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D001707:Biopsy, Needle; D005260:Female; D015483:HIV Antibodies / Q000097:blood; D006801:Humans; D008643:Mesentery / Q000473:pathology; D009894:Opportunistic Infections / Q000150:complications / Q000175:diagnosis*; D014395:Peritonitis, Tuberculous / Q000150:complications / Q000175:diagnosis*
D015483:HIV Antibodies
Tuberculosis mesentérica aislada como primera manifestación de SIDA.