title: [Endoscopic diagnosis of a biliodigestive fistula of tuberculous origin revealing acquired immunodeficiency syndrome].
abstract: We report the case of a 32-year-old Malian man with abdominal tuberculosis revealing acquired immunodeficiency syndrome. A gastroscopy was made for epigastric pain and showed caseum in a digestive fistula with acid fast bacilli. Mycobacterium tuberculosis infection was confirmed by sputum culture. An early antituberculous therapy was prescribed. Outcome was good with rapid fistula closing and slower mass diminution of the abdominal lymph nodes. This case report confirms nodal tuberculosis as a possible cause of digestive fistulae. Rapid endoscopic diagnosis of this tuberculous fistula led to diagnosis of acquired immunodeficiency syndrome and early adapted medical treatment without invasive diagnostic methods.
authors.affiliation: Service d'Hépato-Gastroentérologie, Centre Hospitalier, Villeneuve-Saint-Georges.
authors.forename: T
authors.initials: T
authors.lastname: Paupard
authors.forename: I
authors.initials: I
authors.lastname: Etienney
authors.forename: O
authors.initials: O
authors.lastname: Patey
authors.forename: J
authors.initials: J
authors.lastname: Torrent
authors.forename: C
authors.initials: C
authors.lastname: Guez
authors.forename: L
authors.initials: L
authors.lastname: Bettan
authors.forename: J P
authors.initials: JP
authors.lastname: Emond
authors.forename: C
authors.initials: C
authors.lastname: Lafaix
authors.forename: D
authors.initials: D
authors.lastname: Cattan
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000188:drug therapy; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000175:diagnosis; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001658:Biliary Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005747:Gastric Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents
vernacular_title: Diagnostic endoscopique d'une fistule bilio-digestive d'origine tuberculeuse révélatrice d'un syndrome d'immunodéficience acquise.