Intestinal Tuberculosis After Successful Treatment of Advanced High-Grade Non-Hodgkin’s Lymphoma and AIDS

Figure 1A 43-year-old man with AIDS and high-grade non-Hodgkin’s lymphoma, stage IVB, had been successfully treated with chemotherapy 30 months previously. He now presented with progressive intra-abdominal lymph-node enlargement, transudative pleural effusion, ascites, diarrhea, anasarca, and cachexia. Enteroscopy showed thickening, erythema, and nodularity of the mucosa, with superficial ulceration throughout the duodenum and jejunum.

Figure 2Jejunal biopsy revealed a diffuse histiocytic infiltrate within the lamina propria, containing acid-fast bacilli. The patient responded to antituberculosis therapy.