Péritonite aiguë tuberculeuse au cours de l’infection à VIH. Étude de 4 cas.

C LINIQUEPéritonite aiguë tuberculeuse au cours de l’infection due au VIH. Étude de 4 cas à Abijan, Côte-d’Ivoire.K. G. Ayegnon, K. G. Kouadio*, L. N. Kouadio, R. Lebeau & H. T. TurquinService de chirurgie digestive et proctologique, CHU de Treichville B.P. V 3 Abidjan, Côte-d’Ivoire.Fax : 225 21 25 28 52, *E-mail : germkof@yahoo.frManuscrit n° 2797. “Clinique”. Reçu le 26 mars 2005. Accepté le 11 janvier 2006.Summary: Acute peritoneal tuberculosis in HIV-infected patients. Study of 4 cases in Abidjan, Côte-d’Ivoire.peritoneal tuberculosisThis paper presents 4 cases of histologically verified peritoneal tuberculosis in HIV-infected patients HIVfollowed in a 18 month-period. The patients were admitted in emergency and were suspected of laparotomypresent acute appendiceal peritonitis. There were 3 females of 18, 22 and 27 years-old, and a 41-acute abdomenyear-old male. The main symptoms were acute abdominal pain (4 cases), fever superior to 38°C Abidjan(4 cases) and abdominal defence (4 cases). Laboratory findings were hyperleucocytosis with lympho-3 Côte-d’Ivoirecytic predominance, anemia and CD4+ rate variable from 250 to 460 /mm . They underwent emer-Sub-Saharan Africagency laparotomy which led to diagnosis of peritoneal tuberculosis by histopathological analysis of rd thperitoneal biopsies. Two patients died from surgery at days 3 and 10 . The 2 remaining patients were successfully treated by tuberculostatic tritherapy with rifampicin, isoniazid, and ...