PMC6796728_01
A: Bowel perforation at the cecum. B: Bowel perforation at the terminal ileum. C: Laparotomy wound at the postoperative period.
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At surgery, the peritoneal cavity was filled with 500 ml of pus and 2 bowel perforations were identified: a 1 x 1 cm perforation in the terminal ileum, 50 cm proximal to the ileocecal valve, and a 3 x 2 cm perforation in the cecum (Fig. 1A-C).
A: H&E stain of TB granuloma, with mucosal ulcer. B: Ziehl-Neelsen stain of a Tb granuloma. C: Resected Bowel.
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Bowel perforation due to tuberculosis was confirmed as the final diagnosis, CD4 cell counts were estimated at 94 cells/mm3, and the viral load was estimated at over 106 genome copies (Fig. 2A-C).