Tuberculosis and Human Immunodeficiency Virus Co-infection

Chakroun, M.; Kooli, I.; Marrakchi, W.; Brahim, H. Ben; Aouam, A.; Toumi, A.

doi:10.1007/978-3-031-07040-2_14

Cited by 1 publication

(2 citation statements)

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“…Notably, the case report discussed here didn’t have the majority of such symptoms and signs except weight loss. Perhaps, before tagging primary extrapulmonary tuberculosis, latent tuberculosis evaluation using simple tests like tuberculin skin test could have got space in this case investigation plan as latent tuberculosis is often associated with diagnostic challenges clinically and radiologically[ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…The intricacies of tuberculosis workup in people living with HIV pose additional challenges. For instance, in HIV patients, the tuberculin skin test might be of limited value, the chest x-ray in latent tuberculosis cases might be within normal limits if CD4 cell count < 200 cells/mm 3 , and extrapulmonary tuberculosis in young people can be due to non- Mycobacterium tuberculosis species[ 7 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Primary extrapulmonary tuberculosis diagnosis warrants extra-precautious pulmonary tuberculosis exclusion workup

Saha

2024

World J Clin Cases

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This editorial article takes an opportunity to apprehend the diagnostic challenges of primary gastrointestinal tuberculosis (an uncommon extrapulmonary tuberculosis condition) utilizing the recently published case report of a young male with prolonged gastrointestinal symptoms and weight loss who received intermittent anti-tubercular treatment and underwent operative interventions to relieve gastric outlet obstruction. The diagnosis chiefly relied on high-end examinations, like computed tomography scans and histopathological evaluation of post-operatively resected bowel tissue, which wasn't preceded by an all-inclusive stepwise primary pulmonary tuberculosis exclusion approach that usually begins with a detailed tuberculosis-pertinent history acquisition. Given the geographic locations where the patient had been (and/or treated), pivotal consideration of tuberculosis-associated endemicities in those regions, like human immunodeficiency virus (HIV) infection, might have improved the case description. The obtainment of HIV-relevant histories, like intravenous drug use and sexual practice, are good places to start. The sputum bacteriology also seems imperative to rule out atypical Mycobacterium species infection because of its clinico-radio-histopathological resemblance with pulmonary Mycobacterium tuberculosis. Altogether, this editorial aims to underscore that primary extrapulmonary tuberculosis diagnosis should comprise an elaborative, comprehensive, systematic, and stepwise primary pulmonary Mycobacterium tuberculosis exclusion workup.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%