Original article | Volume 26, Article 67, 05 Feb 2017 | 10.11604/pamj.2017.26.67.11745

Fistulized multidrug-resistant tuberculosis

Naoual El Omri, Fadwa Mekouar

Corresponding author: Naoual El Omri, Internal Medicine Department, Mohammed V Military Teaching Hospital, Rabat, Morocco

Received: 23 Jan 2017 - Accepted: 31 Jan 2017 - Published: 05 Feb 2017

Domain: Clinical laboratory sciences,Emergency medicine,Infectious disease

Keywords: Tuberculosis, multiresistant, fistula

©Naoual El Omri et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Naoual El Omri et al. Fistulized multidrug-resistant tuberculosis. Pan African Medical Journal. 2017;26:67. [doi: 10.11604/pamj.2017.26.67.11745]

Available online at: https://www.panafrican-med-journal.com/content/article/26/67/full

Home | Volume 26 | Article number 67

Original article

Fistulized multidrug-resistant tuberculosis

Fistulized multidrug-resistant tuberculosis

Naoual El Omri1,&, Fadwa Mekouar1

 

1Internal Medicine Department, Mohammed V Military Teaching Hospital, Rabat, Morocco

 

 

&Corresponding author
Naoual El Omri, Internal Medicine Department, Mohammed V Military Teaching Hospital, Rabat, Morocco

 

 

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A 21-year-old woman with no history of tuberculosis was admitted to the emergency room with an acute abdominal accompanied by fever. She underwent an emergency abdominal operation surgery and histological studies revealed a peritoneal and appendicular ovarian tuberculosis. The patient received antibacillar (Rifampicine, Isoniazid, Pyrazinamide). Two months later, she was readmitted with fever and a general physical deterioration while being on antituberculosis medications. Chest X-Ray and CT scan revealed a miliary tuberculosis with pleural and peritoneal effusion and lymphadenopathy above and below the diaphragm. HIV serology was negative. This peritoneal collection had caused a fistula on the abdominal wall with two sinus tracts in the midline. The bacteriological examination of the purulent material revealed a Mycobacterium tuberculosis with a high resistance to all anti-bacillar drugs except Etambuthol and Pyrazinamide. The patient was treated by etionamide, pyrazinamide, spiramycin and etambutole, with favorable outcome.

 

Figure 1: two sinus tracts in the midline of abdominal wall and abdominal computed tomography showing the sinus tract

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Fistulized multidrug-resistant tuberculosis

Original article

Fistulized multidrug-resistant tuberculosis

Original article

Fistulized multidrug-resistant tuberculosis

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Multiresistant

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