Paralytic Ileus during Treatment of Pulmonary and Renal Tuberculosis in a Non-Human Immunodeficiency Virus Patient: An Unusual Presentation of Tuberculosis-immune Reconstitution Inflammatory Syndrome

Paralytic ileus as tuberculosis-immune reconstitution inflammatory syndrome (TB-IRIS) is extremely rare. We herein report a 44-year-old man with pulmonary and renal tuberculosis who developed paralytic ileus 14 days after starting antituberculosis therapy (ATT) despite an initial favorable response...

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Detalles Bibliográficos
Autores principales: Hashiba, Toyohiro, Sugahara, Mai, Ota, Yui, Kaseda, Ken, Kashiwagi, Yusuke, Nakamura, Motonobu, Shinohara, Takayuki, Ikeda, Mahoko, Okugawa, Shu, Sugimoto, Kazuma, Sasaki, Kenichi, Hamasaki, Yoshifumi, Yamada, Daisuke, Kume, Haruki, Moriya, Kyoji, Nangaku, Masaomi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518560/
https://www.ncbi.nlm.nih.gov/pubmed/36642517
http://dx.doi.org/10.2169/internalmedicine.0898-22
Descripción
Sumario:Paralytic ileus as tuberculosis-immune reconstitution inflammatory syndrome (TB-IRIS) is extremely rare. We herein report a 44-year-old man with pulmonary and renal tuberculosis who developed paralytic ileus 14 days after starting antituberculosis therapy (ATT) despite an initial favorable response to ATT. Paralytic ileus was successfully managed with conservative care. He initially required hemodialysis because of obstructive uropathy due to renal tuberculosis, but he was able to withdraw from dialysis after placement of ureteral stents. TB-IRIS can affect organs other than the original sites of tuberculosis, and the combined use of steroids may be effective for its prevention and treatment.

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