[Tuberculous liver abscesses as the form of presentation of human immunodeficiency virus infection].
In patients infected by the human immunodeficiency virus (HIV), it has been observed and increase in the incidence of extrapulmonary tuberculosis. Recently, the presence of abdominal tuberculous abscesses has been described as a manifestation of this form of tuberculous disease. However, hepatic abscesses by Mycobacterium tuberculosis are rare among patients infected by the HIV. In the literature, just two patients with this type of abscesses have been described as a form of presentation of the infection by the HIV. In this paper, we present the case of one patient with positive serology to the HIV and two tuberculous abscesses at the hepatic level as part of a disseminated tuberculosis. The main symptoms were fever and lumbar pain. We established the mycobacterial etiology of the abscesses using Ziehl-Neelsen's tinction and culture in Löwenstein's medium of the sample isolated from the abscesses. Abscess drainage under echographic control, in addition to antituberculous chemotherapy, resulted in a quick recovery of the patient, with disappearance of such abscesses as demonstrated by the ultrasonic study performed at three months.
Martín Suárez
I
I
Servicio de Medicina Interna, Hospital General, Huelva.
Aguayo Canela
D M
DM
Cordero Méndez
F
F
Pujol de la Llave
E
E
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis*; D000328:Adult; D015658:HIV Infections / Q000175:diagnosis*; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis*; D008297:Male; D015819:Substance Abuse, Intravenous / Q000150:complications; D014386:Tuberculosis, Hepatic / Q000175:diagnosis*; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis
Abscesos hepáticos tuberculosos como forma de presentación de la infección por el virus de la inmunodeficiencia humana.