Cecal perforation secondary to a paradoxical reaction in a patient with disseminated tuberculosis: case report and review of the literature

Paradoxical reactions (PR) in HIV-negative patients with anti-tuberculosis treatment are infrequent, presenting more often in cases of extra pulmonary or disseminated tuberculosis (TB). Patients with central nervous system and lymph node TB are the ones who present this reaction more frequently. Par...

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Autores principales: Álvaro Bellido-Caparó, Luis Pampa-Espinoza, J.E Acosta Cano De Los Rios, Jorge Alave, Jaime Cok García, José Luis Pinto Valdivia, Martin Tagle-Arróspide
Formato: Artículo
Lenguaje:inglés
Publicado: 2018
Materias:
Tuberculosis
Medicine
Perforation
Paradoxical reaction
Surgery
General surgery
Intensive care medicine
Dermatology
Pathology
Materials science
Punching
Metallurgy
Health Sciences Medicine Surgery Infectious Diseases and Tuberculosis
Health Sciences Medicine Surgery Diagnosis and treatment of tuberculosis
Health Sciences Medicine Infectious Diseases Amoebic Infections and Treatments
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Sumario:Paradoxical reactions (PR) in HIV-negative patients with anti-tuberculosis treatment are infrequent, presenting more often in cases of extra pulmonary or disseminated tuberculosis (TB). Patients with central nervous system and lymph node TB are the ones who present this reaction more frequently. Paradoxical reactions in the gastrointestinal system are rare. Intestinal perforation is the most severe complication in this respect. However, an early diagnosis and timely treatment are key to improve prognosis in patients with intestinal perforation.

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