Diagnosing peritoneal tuberculosis.
BMJ Case Rep
; 13(2)2020 Feb 06.
Article
em En
| MEDLINE
| ID: mdl-32033999
ABSTRACT
Peritoneal tuberculosis (TB) is one of the most challenging forms of extrapulmonary tuberculosis to diagnose. This challenge can be compounded in low incidence regions, and in patients with cirrhosis in whom the presence of ascites alone may not prompt further investigation. A delay in the diagnosis and treatment of peritoneal tuberculosis may lead to worse clinical outcomes. This case describes a 64-year-old Italian male with decompensated cirrhosis being evaluated for liver transplantation, who developed abdominal pain and a persistent inflammatory ascites with peritoneal thickening despite antibiotic therapy. Peritoneal tuberculosis was suspected, although non-invasive and invasive direct mycobacterial testing remained negative. A constellation of positive QuantiFERON-TB Gold In-Tube test, elevated ascitic adenosine deaminase and dramatic symptomatic and radiographic response to empiric anti-tuberculous therapy confirmed the diagnosis of peritoneal tuberculosis. This paper will review the approach to the diagnosis of peritoneal tuberculosis.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ascite
/
Peritonite Tuberculosa
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Dor Abdominal
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article