Disseminated Tuberculosis with Peritoneal Involvement in An Immunocompromised Patient: A Case Report
Benayad Aourarh, Sanaa Berrag, Fouad Nejjari, Tarik Adioui, Aziz Aourarh, Mouna Tamzaourte, Lina Belkouchi, Rachida Saouab
Asian Journal of Research and Reports in Gastroenterology · pp. 66–70 · Published 10 Mar 2025
10.9734/ajrrga/2025/v8i1163Abstract
Tuberculosis (TB) remains a significant cause of morbidity and mortality, particularly in immunocompromised patients, due to delayed diagnosis and atypical presentations. Early recognition of extrapulmonary TB in sucj patients is critical for initiating prompt treatment and improving outcomes. We report the case of a 48-year-old woman from Guinea with undiagnosed HIV infection who presented with worsening epigastric pain, weight loss, and systemic inflammatory signs. Imaging revealed a paraduodenal mass with extensive necrotic lymphadenopathies. Exploratory laparotomy and microbiological analyses confirmed peritoneal tuberculosis with Mycobacterium tuberculosis complex. Despite treatment initiation, the patient succumbed to septic shock. This case highlights the challenges of diagnosing extrapulmonary TB in immunocompromised patients and underscores the importance of early TB screening in high-risk populations.
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