Case report: Intestinal tuberculosis with perforation of the colon and psoas abscess associated with Escherichia coli ESBL

Localized tubercular ileal perforation in a retroviral disease patient: role of conservative management

“…18,19 Abdominal TB is arguably the most common type of extrapulmonary infection in HIV-positive patients and it also happens to be the sixth most common sort of TB infection. 20 TB infection is seen anywhere from the oral cavity to the rectum, it occurs due to hematogenous spread, and ingestion of respiratory secretions that are contaminated, it can also happen from contiguous spread from lymph nodes or infected organs. The mycobacteria after infiltrating the intestinal epithelium, invade the submucosa producing ulceration, inflammation, and bleeding, it can ultimately lead to intestinal perforation in some cases.…”

Intestinal perforation due to intestinal and colonic tuberculosis in a patient with HIV, a nearly lethal complication due to lack of adequate treatment and control in a limited resource country, a case report

“…Due to its low prevalence and non-specific symptoms, extrapulmonary tuberculosis is difficult to diagnose and control [6,7]. Abdominal TB is the sixth most common form of TB and the commonest type of extrapulmonary tuberculosis in HIV patients [8]. It can affect any organ from the oral cavity to the rectum, and usually develops from the ingestion of contaminated respiratory secretions, hematogenous spread, or contiguous spread from infected organs or lymph nodes.…”

“…The ileocecal region is usually more affected due to more mucosal contact, the effects of digestion and the higher concentrations of lymphoid tissue [5,6]. Symptoms are generally non-specific and can mimic many abdominal pathologies; our patient presented some of the most common symptoms including fever, abdominal pain, night sweats, fatigue, weight loss, constipation, diarrhea, and bleeding [6,8].…”

Retroperitoneal Abscess: A Case Series and Literature Review

“…(Aslan et al, 2018;Elshazzly et al, 2018) The most common cause of psoas abscess is Staphylococcus aureus (88%), followed by streptococci and E. coli. (Palacios-Zertuche et al, 2016) Based on the anatomical location, retroperitoneal abscess also can be classified into perinephric, superior, pelvic, and musculoskeletal. (Mosquera et al, 2019)…”

“…Gram staining, ascites fluid culture, and histopathological examination on biopsy-sample obtained laparoscopy are superior diagnostic tests in confirming the exact aetiology of retroperitoneal abscess. (Aljohani et al, 2020;Palacios-Zertuche et al, 2016) Radiography remains as the most effective diagnostic tool to detect retroperitoneal abscess, such as Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and abdominal sonography. (Huang et al, 2015) The accuracy rate of CT-Scan to diagnose retroperitoneal abscess is 100% hence CT-Scan becomes the gold standard for diagnosis.…”