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Monreal-Robles R, González-González JA, Sordia-Ramírez J, Ruiz-Holguin E, Negreros-Osuna AA, de la Rosa-Pacheco S, Soto-Moncivais B, Rendón A. High mortality due to gastrointestinal TB in HIV and non-HIV patients. Int J Tuberc Lung Dis 2022; 26:348-355. [PMID: 35351240 DOI: 10.5588/ijtld.21.0446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND: Due to the reported low incidence of gastrointestinal TB, there is a lack of data related to the prognosis, risk factors and frequency of resistant TB in this subgroup of patients.OBJECTIVE: To report the clinical presentation, diagnostic methods, treatment and outcomes in gastrointestinal TB.METHODS: We prospectively studied the demographic, clinical, and paraclinical data of all consecutive gastrointestinal TB inpatients over an 8-year period.RESULTS: We identified gastrointestinal TB in 28 (3.5%) out of 799 inpatients with TB infection. Seven patients (25%) were HIV-positive. Overall mortality was 35.7%, with the combined variable of haemoglobin <12 g/dL and albumin <2.8 g/dL being independently associated with mortality (OR 25.7, 95% CI 1.405-471.1, P = 0.029). No difference in the need for surgery (28.6% vs. 47.6%, P = 0.662), occurrence of septic shock (14.3 vs. 23.8%, P = 1.00) or mortality (14.3% vs. 42.9%, P = 0.364) was found between HIV and non-HIV patients.CONCLUSION: Gastrointestinal TB was rare among TB patients in Hospital Universitario "Dr José E. González" (3.5%), but had a high mortality rate (35.7%). Clinical evolution, drug susceptibility patterns and outcomes were similar in HIV and non-HIV patients. In both groups, the combined haemoglobin and albumin variable on admission was clearly associated with mortality.
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Affiliation(s)
- R Monreal-Robles
- Servicio de Gastroenterología, Hospital Universitario "Dr José E González", Universidad Autónoma de Nuevo León, Monterrey, México, Escuela de Medicina y Ciencias de la Salud, Instituto Tecnológico y de Estudios Superiores de Monterrey, Monterrey, México
| | - J A González-González
- Servicio de Gastroenterología, Hospital Universitario "Dr José E González", Universidad Autónoma de Nuevo León, Monterrey, México
| | - J Sordia-Ramírez
- Servicio de Gastroenterología, Hospital Universitario "Dr José E González", Universidad Autónoma de Nuevo León, Monterrey, México
| | - E Ruiz-Holguin
- Servicio de Anatomía Patológica y Citopatología, Monterrey, México
| | | | - S de la Rosa-Pacheco
- Escuela de Medicina y Ciencias de la Salud, Instituto Tecnológico y de Estudios Superiores de Monterrey, Monterrey, México
| | - B Soto-Moncivais
- CIPTIR (Centro de Investigación, Prevención y Tratamiento de Infecciones Respiratorias), Hospital Universitario "Dr José E. González", Universidad Autónoma de Nuevo León, Monterrey, México
| | - A Rendón
- CIPTIR (Centro de Investigación, Prevención y Tratamiento de Infecciones Respiratorias), Hospital Universitario "Dr José E. González", Universidad Autónoma de Nuevo León, Monterrey, México
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