Abdominal ultrasonography and ct are useful to obtain a radiographic diagnosis, with typical findings including diffuse peritoneal thickening, presence of ascites. Tuberculous peritonitis is one of the possible forms of abdominal tuberculosis. Peritoneal tuberculosis is a disease which can mimick malignancy especially in women who present with ascites and elevated ca125 levels. Peritoneal tuberculosis is a common type of abdominal tuberculosis. We report 2 cases of patients with ascites and nodular peritoneal thickening on diagnostic images, as well as high ca125 levels in laboratory tests. Its symptomatology is the shock of the diagnosis with the disastrous abdomen, with the use of gold diagnostic criteria as an analysis of the growth of the culture in ascitic level or a. Peritoneal tuberculosis amounts to 2% of all the extrapulmonary forms. Introducao a tuberculose tb peritoneal e uma entidade rara, com alta morbimortalidade1. However, peritoneal tb may present as a combination of all the 3 types above. Tuberculosis intestinal y peritoneal scielo cuba infomed. Peritoneal tuberculosis pt is an uncommon form of extrapulmonary tuberculosis eptb accounting for 410% of extrapulmonary tuberculosis cases 2 and a reported incidence of 0.
Tuberculosis peritoneal, diagnostico radiologico rev esp. Peritoneal tuberculosis is the most common presentation of abdominal tuberculosis 7, 8 and includes the involvement of the peritoneal cavity, mesenterium and omentum. Peritoneal tuberculosis is rare with increased incidence rates in recent years. Remote work advice from the largest allremote company. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis. Diagnostic and therapeutic strategies for peritoneal tuberculosis. In portugal, although the reported incidence of tb has decreased in recent years, the percentage of reported cases 26% of extra. Value of adenosine deaminase ada in ascitic fluid for the. Ct can show nonspecific findings, leading to confusion of tuberculous peritonitis with other peritoneal abnormalities, such as carcinomatosis. We present the case of 61yearold female with peritoneal tuberculosis.
Medlineplus en espanol tambien contiene enlaces a sitios web no gubernamentales. Its legislation is in western countries and is mainly related to hiv coinfection. Tuberculosis peritoneal con presentacion clinica como. The patient suffered from abdominal pain for a period of 5 months prior to admission. It has a difficult clinical and bacterial diagnosis. Tuberculose peritoneal em um paciente imunocompetente. Summary the peritoneal tuberculosis is one of the differential diagnosis of ascites, but its documentation is provided by the presence of necrotizing granulomas as mycobacterial growth in samples taken from the peritoneum. Tuberculous peritonitis is difficult to diagnose, primarily due to its insidious onset and variability in radiographic findings. The most commonly used classification divides peritoneal tuberculosis into wetascitic type, dryplastic type and.
To establish the usefulness of different methods for the diagnosis of peritoneal tb in mexican adult patients with abdominal pathology. A persistent diagnostic dilemma, use complete diagnostic methods tuberculosis peritoneal. Shakil ao, korula j, kanel gc, murray ng, reynolds. It is a type of abdominal tuberculosis that infects the peritoneum, a membrane lining the inside of the abdominal cavity that surrounds the abdominal organs. Guidelines for diagnosis from the ats, idsa, and cdc. In persons with suspected pleural, peritoneal, or pericardial tb, or tuberculous meningitis, measurement of adenosine.
On the other hand, because of the coexistence of hiv infection, extrapulmonary forms of tuberculosis, including peritoneal tuberculosis, which represents nearly 3. Tuberculose peritoneal dos sintomas ao diagnostico e. Tuberculosis peritoneal alejandra cruz brenes tatiana zuniga summary intestinal and peritoneal tuberculosis is a regional disease, chronic, specific, usually secondary to advanced pulmonary tuberculosis, which mostly takes the form located in lymphoid tissue loyal, frequent location in the terminal ileum, jejunum, ileocecal and or. Peritoneal tuberculosis is a relatively uncommon disease caused by a tuberculosis infection in the lining of the abdomen. Guirat et al, peritoneal tuberculosis, clinics and research in hepathology and gastroenterology 2011 35, 6069 8. Guirat et al, peritoneal tuberculosis, clinics and research in hepathology and gastroenterology 2011 35, 6069 7. Tuberculosis is a disease whose incidence has increased principally as a consequence of hiv infection and use of immunosuppress ive. It is an uncommon variant of tuberculosis with an estimated incidence of 0. Peritoneal tuberculosis pt is an uncommon form of extrapulmonary tuberculosis eptb accounting for 410% of extrapulmonary tuberculosis cases2and a reported in cidence of 0. It should always be considered in differential diagnosis, but the diagnosis is rarely easy for clinicians. Our two patients had the wet form of peritoneal tb in view of both radiological and microbiological findings.
The absence of characteristic clinical features of the disease often makes its diagnosis difficult and elusive. Acute abdomen, peritoneal tuberculosis, peritoneum, tuberculosis. It is believed that its origin is hematogenous, but it may be secondary to lymph node rupture, gastrointestinal dissemination or tubal involvement. Environmental education resources to commemorate earth days 50th anniversary. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Tuberculosis is primarily a respiratory illness, but it can infect any area of the body. Peritoneal tuberculosis, immunocompetent, tuberculosis.
A young female patient who presented with abdomen tenderness and diagnosed with peritoneal tuberculosis as a result of performed tests is discussed. Tb remains a primary public health challenge worldwide, the hiv epidemics having facilitated its recurrence and spread 1. Aun mas, existen otras enfermedades infecciosas, no ocasionadas por micobacteriosas. In both patients, a diagnosis of peritoneal tuberculosis was reached following a.