African Journal of
Medical and Health Sciences

OFFICIAL PUBLICATION OF THE FEDERAL TEACHING HOSPITAL, ABAKALIKI, NIGERIA
  • Abbreviation: Afr. J. Med. Health Sci.
  • Language: English
  • ISSN: 2384-5589
  • DOI: 10.5897/AJMHS
  • Start Year: 2017
  • Published Articles: 59

Case Report

Disseminated tuberculosis with pulmonary and renal infections: A confirmed case in a severely immunocompromised HIV patient

Alain Farra
  • Alain Farra
  • National Reference Laboratory for Tuberculosis, Institut Pasteur de Bangui, Central African Republic.
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Gaspard Tekpa
  • Gaspard Tekpa
  • Infectious Diseases Department, AmitiĆ© Sino-Centraficaine Hospital, Bangui, Central African Republic.
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Gilles Ngaya
  • Gilles Ngaya
  • Medical Testing Laboratory, Institut Pasteur de Bangui, Central African Republic.
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Herve Gando
  • Herve Gando
  • National Tuberculosis Control Program (Programme National de Lutte contre la Tuberculose), Central African Republic.
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Alexandre Manirakiza
  • Alexandre Manirakiza
  • Epidemiology Department, Institut Pasteur de Bangui, Central African Republic.
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  •  Received: 23 October 2020
  •  Accepted: 23 June 2021
  •  Published: 31 July 2021

Abstract

Tuberculosis continues to be a major public health issue. The advent of human immunodeficiency virus (HIV) infections led to a dramatic increase in extrapulmonary forms of tuberculosis, with a non-negligible number of cases with multifocal lesions. This study reports a disseminated tuberculosis case with pulmonary and renal localization in a severely immunocompromised HIV patient diagnosed by microscopic examination and the GeneXpert MTB/RIF on sputum and urine in the absence of a urine test, in particular, the urine lipoarabinomannan assay (TB-LAM).

Key words: Tuberculosis, disseminated, immunosuppression, HIV, Bangui.