Clinical case reports · 2023
Difficulty in diagnosing peritonitis caused by multidrug-resistant tuberculosis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Aoyama Sayaka, Yamashita Shun, Ishizuka Kosuke, Katsukura Shinichi, Matsuura Hiroki, Kato Mikiro
Аннотация
KEY CLINICAL MESSAGE: The low sensitivity of ascites culture for acid-fast bacilli necessitates a peritoneal biopsy when tuberculous peritonitis is suspected. Findings in the peritoneum on computed tomography may prompt suspicion of tuberculous peritonitis.
ABSTRACT: A 47-year-old Nigerian man presented with fever, abdominal distention, and weight loss. Abdominal computed tomography revealed massive ascites and peritoneal thickening. Despite failing to culture acid-fast bacilli from ascites, histological examination and culture of peritoneum revealed multidrug-resistant tuberculosis peritonitis. Peritoneal biopsy is mandatory when tuberculosis peritonitis is suspected.
ABSTRACT: A 47-year-old Nigerian man presented with fever, abdominal distention, and weight loss. Abdominal computed tomography revealed massive ascites and peritoneal thickening. Despite failing to culture acid-fast bacilli from ascites, histological examination and culture of peritoneum revealed multidrug-resistant tuberculosis peritonitis. Peritoneal biopsy is mandatory when tuberculosis peritonitis is suspected.