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
Luis Pampa-Espinoza
J.E Acosta Cano De Los Rios
Jaime Cok García
José Luis Pinto Valdivia
Martin Tagle-Arróspide
Date Issued
12 de diciembre de 2018
Type
Article
Volume
9
Issue
6
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.
Subjects