title: Asymptomatic Tuberculosis-Induced Ileal Perforation in an HIV- Infected Individual; A Case Report.
abstract: The co-existence of acquired immune deficiency syndrome (AIDS) and tuberculosis is a major cause of morbidity and mortality because of a widespread organ involvement. The gastrointestinal tract is a common site for localization of opportunistic microorganisms in AIDS. However, surgical abdominal emergencies such as intestinal perforation resulted from tuberculosis are uncommon in these patients. The asymptomatic occurrence of such intestinal perforation has not been reported our knowledge. We represent an HIV and HCV co-infected man with miliary tuberculosis and an incidentally detected free air under  diaphragm in the chest X-ray eventually resulting in exploratory laparotomy which then revealed two tubercular-induced intestinal perforations. It seems that as the tuberculosis is increasing in incidence, mostly due to reactivation in HIV-infected patients especially in developing countries, we should not underestimate its acute abdominal emergencies such as bowel perforation.
authors.affiliation: Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Sedigheh
authors.initials: S
authors.lastname: Tahmasebi
authors.affiliation: Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Sam
authors.initials: S
authors.lastname: Moslemi
authors.affiliation: Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Tahamtan
authors.affiliation: Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Lohrasb
authors.initials: L
authors.lastname: Taheri
authors.affiliation: Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Mohammad Ali
authors.initials: MA
authors.lastname: Davarpanah
keywords: Acquired Immune Deficiency Syndrome (AIDS).; Human Immunodeficiency Virus (HIV); Intestinal perforation; Tuberculosis