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Cecal perforation secondary to a paradoxical reaction in a patient with disseminated tuberculosis: case report and review of the literature
Author(s)
Álvaro Bellido-Caparó
Hospital Nacional Cayetano Heredia
Luis Pampa-Espinoza
Hospital Nacional Cayetano Heredia
J.E Acosta Cano De Los Rios
Universidad Peruana Cayetano Heredia
Hospital Nacional Cayetano Heredia
Jaime Cok García
Hospital Nacional Cayetano Heredia
José Luis Pinto Valdivia
Universidad Peruana Cayetano Heredia
Martin Tagle-Arróspide
Universidad Peruana Cayetano Heredia
Date Issued
12 de diciembre de 2018
Type
Article
Volume
9
Issue
6
Series/Report No.
Gastroenterology & Hepatology Open Access
ISSN
2373-6372
Abstract
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.
Keywords