TUBERCULOSIS COLITIS WITH PERFORATION AS A MANIFESTATION OF GENERALIZED MILIARY TUBERCULOSIS IN THE FEMALE PATIENT WITH CHRONIC ADRENAL INSUFFICIENCY
https://doi.org/10.21292/2075-1230-2019-97-2-56-61
Abstract
The article describes a clinical case of post mortem diagnostics of progressing generalized tuberculosis (microfocal disseminated pulmonary tuberculosis) of spleen, kidneys, adrenal glands, heart, and intestine (infiltrate ulcerative tuberculosis of terminal ileum), developed during continuous treatment with glucocorticosteroids due to chronic adrenal insufficiency.
About the Authors
O. V. Velikaya
Voronezh State Medical Academy named after N. N. Burdenko
Russian Federation
Russian Federation
Olga V. Velikaya Doctor of Medical Sciences, Associate Professor, Head of the Department.
10, Studencheskaya St., Voronezh, 394036
N. A. Stogova
Voronezh State Medical Academy named after N. N. Burdenko
Russian Federation
Russian Federation
Natalya A. Stogova Doctor of Medical Sciences, Professor.
10, Studencheskaya St., Voronezh, 394036
O. S. Martyshova
Voronezh State Medical Academy named after N. N. Burdenko
Russian Federation
Russian Federation
Olga S. Martyshova Candidate of Medical Sciences, Assistant.
10, Studencheskaya St., Voronezh, 394036
References
1. Gordeeva O.M., Karpina N.L., Larionova E.E., Аndrievskaya I.Yu., Kiseleva E.А., Lovacheva O.V. Aspects of pulmonary tuberculosis verification in those at the terminal stage of chronic kidney disease. Tuberculosis and Lung Diseases, 2018, vol. 96, no. 5, pp. 14-21. (In Russ.)
2. Kuzmina N.V. Characteristics of patients staying in a specialized unit for tuberculosis patients with concurrent HIV infection. Tuberculosis and Lung Diseases, 2018, no. 8, pp. 37-41. (In Russ.)
3. Filinyuk O.V., Eliseeva L.V., Denisova O.A., Stepanova E.P., Golubchikov P.N. Generalized tuberculosis in those with systemic lupus erythematosus taking methylprednisolone impulse therapy: difficulties in diagnostics and treatment. Bulleten Sibirskoy Meditsiny, 2017, no. 2, pp. 187-194. (In Russ.)
4. Aljohaney A.A. Mortality of patients hospitalized for active tuberculosis in King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Saudi. Med. J., 2018, vol. 39, no. 3, pp. 267-272.
5. Barman B., Tiewsoh I., Lynrah K.G., Wankhar B., Beyong T., Issar N.K. Miliary tuberculosis with pulmonary and extrapulmonary component complicated with acute respiratory distress syndrome. J. Family Med. Prim. Care, 2017, vol. 6, no. 3, pp. 688-690.
6. Hilal T., Hurley P., McCormick M. Disseminated tuberculosis with tuberculous meningitis in an immunocompetent host. Oxf. Med. Case Report, 2014, no. 7, pp. 125-128.
7. Kapan M., Karabicak I., Aydogan F., Kusaslan R., Kisacik B. Intestinal perforation due to miliary tuberculosis in a patient with Behcet's disease. Mt. Sinai J. Med., 2006, vol. 73, no. 5, pp. 825-827.
8. Koda K., Enomoto Y., Omae M., Akahori D., Abe T., Hasegawa H., Matsui T., Yokomura K., Suda T. A case of miliary tuberculosis originated from cutaneous infection. Kekkaku, 2016, vol. 91, no. 2, pp. 59-63.
9. Koschny R., Junghanss T., Mischnik A., Karner M., Kreuter M., Roth W., Stremmel W., Merle U. Development of miliary tuberculosis under infliximab in a patient with spondyloarthritis and suspected Crohn's disease. Z. Gastroenterol., 2013, vol. 51, no. 10, pp. 1177-1183.
10. Li J.C., Fong W., Wijaya L., Leung Y.Y. Disseminated tuberculosis masquerading as a presentation of systemic lupus erythematosus. Int. J. Rheum. Dis., 2018, vol. 21, no. 1, pp. 352-355.
11. Mert A., Bilir M., Ozaras R., Tabak F., Goksel S., Senturk H. A rare complication of miliary tuberculosis: intestinal perforation. Acta Chir. Belg., 2001, vol. 101, no. 1, pp. 42-45.
12. Rondelli F., Finocchi L., Covarelli P., Boselli C., Cristofani R., Noya G. Multiple intestinal perforations due to tuberculosis: a case report and review of the literature. Chir. Ital., 2009, vol. 61, no. 3, pp. 397-399.
13. Roy S., Bhatt S., Rawal R., Tandon A., Meena N. Splenic vein thrombosis as a rare complication of disseminated tuberculosis ‒ imaging diagnosis and case report. Pol. J. Radiol., 2017, no. 82, pp. 106-109.
14. Saitou M., Suzuki T., Niitsuma K. Pulmonary and intestinal tuberculosis developing acute tuberculous perforation of the intestine during antituberculosis therapy. Kekkaku, 2015, vol. 90, no. 9, pp. 631-634.
15. Savic I., Trifunovic-Skodric V., Mitrovic D. Clinically unrecognized miliary tuberculosis: an autopsy study. Ann. Saudi Med., 2016, vol. 36, no. 1, pp. 42-50.
16. Shimada H., Nakamura Y., Saito-Shono T., Ishikawa K., Nishida H., Yokoyama S., Hiramatsu K., Nakanaga K., Ishii N., Takikawa S., Sakai T., Takeo N., Fujiwara S., Hatano Y. A case of cutaneous tuberculosis: a clue to diagnosing miliary tuberculosis. Eur. J. Dermatol., 2016, vol. 26, no. 5, pp. 510-511.
Review
For citations:
Velikaya O.V., Stogova N.A., Martyshova O.S. TUBERCULOSIS COLITIS WITH PERFORATION AS A MANIFESTATION OF GENERALIZED MILIARY TUBERCULOSIS IN THE FEMALE PATIENT WITH CHRONIC ADRENAL INSUFFICIENCY. Tuberculosis and Lung Diseases. 2019;97(2):56-61. (In Russ.) https://doi.org/10.21292/2075-1230-2019-97-2-56-61
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