title: Disseminated tuberculosis presenting as mesenteric and cerebral abscess in HIV infection: case report.
abstract: Disseminated tuberculosis in HIV infection involves multiple organs. Pulmonary and lymph node involvement are the commonest form of tuberculosis in HIV infection [1, 2]. Other forms of tuberculosis in the absence of lung and lymph node involvement are rare. Various forms of abdominal [3, 4] and neurological [5, 6] tubercular involvement in HIV infection have been reported. But tuberculosis presenting simultaneously with mesenteric and brain abscess has not been reported yet. We report a case of disseminated tuberculosis presenting as mesenteric and cerebral abscess in a HIV case without involving lung and lymph nodes. Bone marrow smears and fine needle aspiration cytology (FNAC) from mesenteric lesion were positive for acid fast bacilli (AFB) and the diagnosis of tuberculosis was confirmed by positive polymerase chain reaction (PCR). He responded well to treatment with anti tubercular drugs.
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal, India. vinayrpandit@gmail.com
authors.forename: Vinay
authors.initials: V
authors.lastname: Pandit
authors.forename: Rohith
authors.initials: R
authors.lastname: Valsalan
authors.forename: Shubha
authors.initials: S
authors.lastname: Seshadri
authors.forename: Shibu
authors.initials: S
authors.lastname: Bahuleyan
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D000038:Abscess; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D044963:Biopsy, Fine-Needle; D001922:Brain Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D008643:Mesentery / Q000382:microbiology* / Q000473:pathology; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016133:Polymerase Chain Reaction; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents