n Southern African Journal of HIV Medicine - Tuberculous abdominal abscess in an HIV-infected man : neither infection previously diagnosed : case study
|Article Title||Tuberculous abdominal abscess in an HIV-infected man : neither infection previously diagnosed : case study|
|Journal||Southern African Journal of HIV Medicine|
|Author||Kuo-Yao Kao and Tsung-I Hung|
|Publication Date||Sep 2010|
|Pages||30 - 34|
|Keyword(s)||Shin Kong Wo Ho-Su Memorial Hospital|
A 38-year-old man had a 1-week history of right lower quadrant abdominal pain; the initial impression was that he had diverticulitis of the ascending colon with an intra-abdominal abscess. Signs of peritonitis mandated an immediate right hemicolectomy. The unusual location of the abscess and the patient's unusual postoperative course suggested that he might also have a systemic disease. Testing for HIV infection was positive. After 2 weeks in hospital, he was treated as an outpatient for both tuberculosis and HIV with a favourable outcome. In Taiwan a pre-operative HIV test is not performed routinely, and the HIV sero-prevalence in surgical patient populations is unknown. Surgeons should keep the possibility of HIV infection in mind in a patient with an unusual clinical course.
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