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Intestinal tuberculosis in AIDS.

N Bargalló1, C Nicolau, P Luburich

  • 1Department of Radiology, Hospital Clìnic i Provincial, Barcelona, Spain.

Gastrointestinal Radiology
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Radiological imaging of intestinal tuberculosis (IT) in patients with acquired immunodeficiency syndrome (AIDS) shows common involvement of the ileocecal area. No significant differences in IT appearance were noted between AIDS patients and others, though all had advanced disease.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Radiology

Background:

  • Intestinal tuberculosis (IT) is a form of extrapulmonary tuberculosis affecting the gastrointestinal tract.
  • Acquired immunodeficiency syndrome (AIDS) can alter the presentation of opportunistic infections, including tuberculosis.

Purpose of the Study:

  • To describe the radiological findings of intestinal tuberculosis in patients with AIDS.
  • To compare the radiological manifestations of IT in patients with and without AIDS.

Main Methods:

  • Retrospective review of radiological studies (CT or barium) in six patients with AIDS and intestinal tuberculosis.
  • Analysis of the location and pattern of intestinal involvement.

Main Results:

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  • Ileocecal segment involvement was observed in five cases, cecum in four, and duodenum in one.
  • No significant differences in radiological manifestations of IT were found between patients with and without AIDS.
  • All six patients with AIDS had advanced-stage disease at diagnosis.

    • Conclusions:

    • Radiological imaging of intestinal tuberculosis in AIDS patients reveals characteristic patterns, primarily involving the ileocecal region.
    • The imaging findings of IT in AIDS patients are similar to those in non-AIDS patients.
    • Early diagnosis and treatment are crucial, especially in immunocompromised individuals, given the advanced stage at presentation.