Rectal tuberculosis in an HIV-infected patient: case report

  • Simone Cristina Baylon Endoscopy Service – Hospital Universitário – Universidade de São Paulo, São Paulo/SP
  • Marcos dos Santos Vieira de Barros Department of Surgery – Hospital Universitário – Universidade de São Paulo, São Paulo/SP
  • Celso Guilherme Christiano Endoscopy Service – Hospital Universitário – Universidade de São Paulo, São Paulo/SP
  • Silvana Maria Lovisolo Anatomic Pathology Service – Hospital Universitário – Universidade de São Paulo, São Paulo/SP
  • Vladimir Mulele Pinto Santa Rosa Department of Surgery – Faculdade de Medicina – Universidade de São Paulo, São Paulo/SP
Keywords: Tuberculosis, Proctitis, Diarrhea, Acquired Immunodeficiency Syndrome

Abstract

The gastrointestinal (GI) tract has been increasingly affected by tuberculosis, especially in immunocompromised patients. Although strict rectal involvement is rare, the GI site mostly affected is the ileocecal region. Thus, tuberculosis should always be considered in the differential diagnosis of perianal and rectal lesions, and more so in patients infected by the HIV virus. The authors report the case of a 32-year-old man presenting a long-term history of fever, night sweats, weight loss, bloody diarrhea, fecal incontinence, tenesmus, and rectal pain. HIV serology was positive. The patient underwent anoscopy and biopsy, which disclosed the diagnosis of rectal tuberculosis. Thus the patient was referred to an outpatient clinic to follow the standard treatment.

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Published
2014-09-30
How to Cite
Baylon, S., Barros, M., Christiano, C., Lovisolo, S., & Santa Rosa, V. (2014). Rectal tuberculosis in an HIV-infected patient: case report. Autopsy and Case Reports, 4(3), 65-69. Retrieved from http://www.revistas.usp.br/autopsy/article/view/98480
Section
Article / Clinical Case Report