Disseminated Tuberculosis with Peritoneal Involvement in An Immunocompromised Patient: A Case Report
Benayad Aourarh *
Department of Gastroenterology 1, Military Teaching Hospital Mohamed V Rabat, Morocco.
Sanaa Berrag
Department of Gastroenterology 1, Military Teaching Hospital Mohamed V Rabat, Morocco.
Fouad Nejjari
Department of Gastroenterology 1, Military Teaching Hospital Mohamed V Rabat, Morocco.
Tarik Adioui
Department of Gastroenterology 1, Military Teaching Hospital Mohamed V Rabat, Morocco.
Aziz Aourarh
Department of Gastroenterology 1, Military Teaching Hospital Mohamed V Rabat, Morocco.
Mouna Tamzaourte
Department of Gastroenterology 1, Military Teaching Hospital Mohamed V Rabat, Morocco.
Lina Belkouchi
Department of Radiology, Military Teaching Hospital Mohamed V Rabat, Morocco.
Rachida Saouab
Department of Radiology, Military Teaching Hospital Mohamed V Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Tuberculosis (TB) remains a significant cause of morbidity and mortality, particularly in immunocompromised patients, due to delayed diagnosis and atypical presentations. Early recognition of extrapulmonary TB in sucj patients is critical for initiating prompt treatment and improving outcomes. We report the case of a 48-year-old woman from Guinea with undiagnosed HIV infection who presented with worsening epigastric pain, weight loss, and systemic inflammatory signs. Imaging revealed a paraduodenal mass with extensive necrotic lymphadenopathies. Exploratory laparotomy and microbiological analyses confirmed peritoneal tuberculosis with Mycobacterium tuberculosis complex. Despite treatment initiation, the patient succumbed to septic shock. This case highlights the challenges of diagnosing extrapulmonary TB in immunocompromised patients and underscores the importance of early TB screening in high-risk populations.
Keywords: Tuberculosis, HIV, septic shock, laparotomy