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Colegio de Medicina Interna de México.

2020, Number 6

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Med Int Mex 2020; 36 (6)

Lymph node and splenic tuberculosis as an initial manifestation of HIV infection

Ramírez-Gil A, Montiel-López L

Language: Spanish
References: 14
Page: 852-858
PDF size: 245.16 Kb.


ABSTRACT

Background: Splenic tuberculosis is a rare condition and a diagnostic challenge because the presentation of microbiological evidence is not direct, the tuberculosis rate is 8%, while in the literature as an initial manifestation of HIV is unusual.
Clinical case: A 31-year-old male patient with ganglionic and splenic tuberculosis as initial presentation of HIV infection, which began with sputum, 2-week evening fever and diaphoresis, accompanied by cervical lymphadenopathy, radiology and tomography confirmed the presence of right pleural effusion, the spleen in phase contrasted with multiple round focal lesions with perilesional reinforcement, ELISA was performed for HIV positive and Western Blot with positive result, viral load 213,081 copies/mL and CD4 count 136 cel/mm3. An excisional cervical ganglion biopsy was performed with a histopathological report of chronic granulomatous lymphadenitis, caseous necrosis. It was handled with Dotbal®. Two days after the fever, diaphoresis and cough disappeared.
Conclusions: This is one of the few cases available in the literature about lymph node and splenic tuberculosis in HIV.


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