25.06.2021 | Review Article
Gastrointestinal Tuberculosis and HIV Association in Tropics
verfasst von:
Sukumar Maiti, Krishnendu Bikash Maiti
Erschienen in:
Indian Journal of Surgery
|
Sonderheft 4/2021
Einloggen, um Zugang zu erhalten
Abstract
Among human immunodeficiency virus (HIV)-infected patients, tuberculosis (TB) is the most common opportunistic infection. HIV and Mycobacterium tuberculosis have a synergistic interaction; each accentuates progression of the other. Despite progress in prophylaxis and therapy, abdominal tuberculosis remains a rampant health problem in developing countries like India. HIV coexistence has dramatically changed the etiological agents and the pattern of presentation of abdominal tuberculosis, thus producing diagnostic difficulties and modification of treatment protocol. Although the frequency of pulmonary TB has been constant, the incidence of extrapulmonary disease is increasing largely in the HIV population. Gastrointestinal tuberculosis is the sixth most frequent form of extrapulmonary site after lymphatic, genitourinary, bone and joint, miliary and meningeal tuberculosis in India.