Affecting the Mesenteric Lymph Nodes and Kidney Case Presentation

We present the case of C.I., a 16 year-old female patient, diagnosed with human immunodeficiency virus (HIV) infection since September 2006 (the suspicion beginning from a genital condylomatosis). Our patient had contact with a multidrug-resistant TBC patient (her stepmother), who abandoned the tuberculostatic therapy several times. Our patient hospitalized in December 2006, accused fever, vomiting, diffuse abdominal pain, abdominal muscle contraction. During surgical procedure, mesenteric lymph nodes fistulized into colon and duodenum were discovered, against which right hemicolectomy, duodenorrhaphy, drainage, mesenteric lymphadenectomy were used. Before hospitalization, urine cultures already confirmed urinary tuberculosis, with BK rifampin and isoniazid-resistant, but sensible to pyrazinamide, ethambutol, cycloserine, amikacin. The patient’s health condition was growing worse and 4 weeks after the operation she died.