A naive human immunodeficiency virus (HIV) patient with extrapulmonary tuberculosis manifestation: diagnosis and management challenges

Author:

Hadiatma Faradika Nopta,Triyono Erwin Astha

Abstract

Background: Co-infection of human immunodeficiency virus (HIV) and extrapulmonary tuberculosis (TB) is common tropical countries and could manifest with diverse clinical manifestations and mimic other diseases. This case report highlights the diagnosis and management challenges of a patient with HIV naive who had pleural and pericardial effusion manifestation due to extrapulmonary TB. Case presentation: A male 48 years old was referred with shortness of breath, cough with phlegm, fever with night sweats. The patient complained of chest tightness and pain, decreased appetite, and weight loss approximately 10 kg in the last six months. The patient had several times having sexual intercourse with prostitutes. White patches were presented on the tongue. The patient was tested twice with three methods for HIV test and yielded inconclusive results. The chest X-ray examination suggested left pleural effusion and echocardiography with the results of pericardial effusion. The patient had thoracentesis with the adenosine deaminase (ADA) test 52 U/L and the culture resulted a positive for Mycobacterium tuberculosis sensitive to rifampicin, isoniazid, ethambutol, and pyrazinamide. The patient was treated with anti-TB. Later, the viral load yielded a value of 1.43x106 IU/mL and the patient was treated with antiretroviral therapy. Conclusion: Due to challenges of diagnose and manage of such co-infection with unusual clinical manifestations, multi-disciplinary approaches are required together with adequate healthcare facilities to support the diagnostics.

Publisher

DiscoverSys, Inc.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3