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首页> 外文期刊>Sao Paulo Medical Journal >Abdominal mycobacterial infection in acquired immunodeficiency syndrome patients
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Abdominal mycobacterial infection in acquired immunodeficiency syndrome patients

机译:获得性免疫缺陷综合征患者的腹部分枝杆菌感染

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The authors studied 12 patients with AIDS and abdominal mycobacteriosis hospitalized in the Hospital Ipiranga (S?o Paulo, Brazil), from June 1989 to January 1992. Diagnosis was confirmed by the histopathological examination of organ specimens collected during laparotomy, which, in most cases, was carried out due to an emergency situation. Observations included perforation of the ileum, seropurulent fluid involved and bloked by viscera, epiploon, and fibrin. Hepatoesplenomegaly was present in all patients and generalized granulomatous peritonitis was observed in more than 50%. A patient died in the immediate post-op period, four after an average period of 55 days in the hospital. A patient evolved with stercoral fistula and asked to be discharged. Six patients were discharged after an average hospitalization period of 27 days. The authors stress that in developing regions where tuberculosis incidence is high, a patient with AIDS and a painful and irritative abdominal picture should always lead to the hypothesis of mycobacteriosis.
机译:作者研究了1989年6月至1992年1月在伊皮兰加(巴西圣保罗)医院住院的12例艾滋病和腹部分枝杆菌病患者。通过剖腹手术期间收集的器官标本的组织病理学检查证实了诊断。 ,是由于紧急情况而执行的。观察结果包括回肠穿孔,内脏,表皮和纤维蛋白参与并肿胀的浆液。所有患者均存在肝脾肿大,超过50%的患者出现全身肉芽肿性腹膜炎。病人在手术后即刻死亡,平均住院时间为55天,有4人死亡。一名患者出现了巩膜瘘,并要求出院。平均住院27天后,有6名患者出院。作者强调,在结核病高发的发展中地区,艾滋病患者和腹部疼痛且刺激性的图片应始终导致分枝杆菌病的假说。

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