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KMID : 1039020150380030112
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The Ewha Medical Journal
2015 Volume.38 No. 3 p.112 ~ p.116
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Acquired Immunodeficiency Syndrome Presenting with Abdominal Tuberculosis
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Koh Byung-Sung
Kim Sang-Jung
Yoo Kyoung-Hwa
Lee Kyung-Han
Noh Gi-Tark
Heo Won-Seok
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Abstract
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The incidence of tuberculosis (TB) had gradually been declining all over the world, but in recent years, TB has been increasing due to the spread of the human immunodeficiency virus (HIV). When immune-suppression status deteriorates further, extrapulmonary TB generally appears more often. Abdominal TB is one type of extra-pulmonary TB, which may involve the gastrointestinal tract, peritoneum, lymph nodes or solid viscera. We encountered a case who had initially been diagnosed as having abdominal TB, had progressed to acute respiratory distress syndrome and was eventually confirmed as having developed acquired immune deficiency syndrome. In cases of coinfection of TB and HIV, it is reported that immunological responses become poor and complications with higher morbidity frequently occur. Therefore, the Korean guidelines for TB should be revised to ensure whether HIV infection exists in TB patients.
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KEYWORD
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Tuberculosis, HIV
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