[Acute peritoneal tuberculosis in HIV-infected patients. Study of 4 cases in Abidjan, Côte-d'Ivoire].
This paper presents 4 cases of histologically verified peritoneal tuberculosis in HIV-infected patients followed in a 18 month-period. The patients were admitted in emergency and were suspected of present acute appendiceal peritonitis. There were 3 females of 18, 22 and 27 years old, and a 41-year-old male. The main symptoms were acute abdominal pain (4 cases), fever superior to 38 degrees C (4 cases) and abdominal defence (4 cases). Laboratory findings were hyperleucocytosis with lymphocytic predominance, anemia and CD4+ rate variable from 250 to 460/mm3. They underwent emergency laparotomy which led to diagnosis of peritoneal tuberculosis by histopathological analysis of peritoneal biopsies. Two patients died from surgery at days 3rd and 10th. The 2 remaining patients were successfully treated by tuberculostatic tritherapy with rifampicin, isoniazid, and pirazinamid. Acute peritoneal tuberculosis in HIV-infected patients is not to be missed in our practice. It must be considered in differential diagnosis of acute abdomens.
Ayegnon
K G
KG
Service de chirurgie digestive et proctologique, CHU de Treichville B.P. V 3 Abidjan, Côte-d'Ivoire.
Kouadio
K G
KG
Kouadio
L N
LN
Lebeau
R
R
Turquin
H T
HT
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D007560:Cote d'Ivoire; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D014395:Peritonitis, Tuberculous / Q000175:diagnosis / Q000209:etiology*