Tuberculous Ileal Perforation In A HiV Positive Patient A Case Report And Review Of Literature

Abstract

Tuberculosis is prevalent worldwide. Even in developed countries there is a resurgence of tuberculosis mainly due to increasing HIV infection. Tuberculous ileal perforation is uncommon. It is, however, a potentially fatal complication of intestinal tuberculosis especially inHIV/AIDS patient. To highlight tuberculous ileal perforation as an underestimated complication of intestinal tuberculosis in anHIVpatient presentingwith acute abdomen. A 42 year old HIV positive long distance truck driver with tuberculous ileal perforation is presented and related literatures reviewed. Intestinal perforation due to abdominal tuberculosis is an aetiological factor in acute HIV abdomen.High index of suspicion remains the key to diagnosis.
Keywords: Tuberculosis, Ileal Perforation,HIV

Nigerian Journal of Clinical Practice Vol. 11 (4) 2008: pp. 386-388