Victoria Bîrluțiu
Clinica Boli Infecțioase adulți Sibiu
Abstract
We present the case of C.I., a 16 years old female patient, diagnosed with human immunodeficiency virus (HIV) infection since September 2006 (the suspicion beginning from a genital condilomatosis). Our patient had contact with a multidrug-resistant TBC patient (her stepmother), who abandoned the tuberculostatic therapy several times. Our patient hospitalized in December 2006, accused fever, vomiting, diffuse abdominal pain, abdominal muscle contraction. During surgical procedure, mesenteric lymph nodes fistulized into colon and duodenum were discovered, against which right hemicolectomy, duodenorrhaphy, drainage, mesenteric lymphadenectomy were used. Before hospitalize, urocultures already confirmed urinary tuberculosis, with BK rifampin- and isoniazid-resistant, but sensible to pyrazinamide, ethambutol, cycloserine, amikacin. The patient was growing worse and 4 weeks from operation she died.