Gastrointestinal tubercular arteritis during HIV infection.
Although digestive tract is often involved in HIV disease, severe gastrointestinal bleeding rarely occurs. We describe a case of severe gastrointestinal bleeding associated with a mycobacterium tuberculosis arteritis of colonic tract. It is reported a morphology change of mesenteric arteries by mycobacterium tuberculosis revealed by angiography. The superselective embolization of branches mesenteric inferior artery resolved the important bleeding without surgical intervention. In AIDS patients, during intestinal tuberculosis, massive enteric-hemorrhage suggests for involvement of mesenteric arteries by mycobacterium tuberculosis. An angiography is basic to discover bleeding and if necessary for the therapeutic treatment.
Pellicelli
A
A
II Divisione di Malattie Infettive, Ospedale L. Spallanzani, Roma, Italy.
Ferri
F
F
Paloscia
R
R
D'Ambrosio
C
C
Goffredo
F
F
De Medici
L
L
Pieri
S
S
Visco
G
G