Translate case to... FATAL DIGESTIVE TUBERCULOSIS IN A HIV POSITIVE PATIENT

Male 48 years old, member in Yoga-like association, with history of acute myocardial infarction treated by PTCE, was admitted as emergency, for signs of upper gastro-intestinal bleeding. The upper GI endoscopy - acute hemorrhagic gastritis. The thoracic X-ray - tuberculosis bronchopneumony. After 24 hours, the patient accuse important abdominal pain and pneumoperitoneum was diagnosed at the abdominal X-ray. The emergency laparotomy was performed and revealed peritonitis by multiple perforation of the small bowel due to digestive tuberculosis. We performed the suture of the most perforations and ileal enterectomy with side to side ileotransversostomy. The patient died 6 hours postoperation due to a heart attack. HIV+ was confirmed by western blotting test.