Expanded case definition for diagnosing extrapulmonary tuberculosis in HIV infected person.

A 30 years old male with a history of intravenous drug user came with abdominal pain since 3 weeks before admission. During the last month he lost 10 kg of his body weight. He had mild fever and night sweat, without diarrhea or change in bowel habit. He had not complaint any cough. He looked pale and cachectic. Pulse rate was 100 times per minute and axilla temperature was 37.2 C. Abdominal examination revealed mild tenderness in epigastrium without organ enlargement. His bowel sound was normal. Laboratory findings were mild anemia (10.2 g/dL), low platelet count (120.000/dL), elevated ESR (45 mm/h), and elevated CRP (102 mg/ dL). Liver transaminase was normal. His anti-HIV was reactive and anti-HCV was positive. CD4+ cell count was 45 cells/mL. Abdominal ultrasonography showed in figure 1. Expanded Case Definition for Diagnosing Extrapulmonary Tuberculosis in HIV Infected Person