Peritoneal tuberculosis in a health-care worker, radio-pathological assessment and diagnosis, a case report

Jurado, Leonardo F.; Pinzón, Bibiana; Rosa-Noriega, Zandra Rocío De La; Matijasevic, Eugenio; López-Panqueva, Rocío del Pilar

doi:10.1016/j.jrid.2020.02.003

Cited by 5 publications

(6 citation statements)

References 16 publications

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“…World tuberculosis (TB) day, on March 24 each year, commemorates the day when Dr Robert Koch announced his historic discovery of Mycobacterium tuberculosis (MTB) as the cause of TB [ 1 ]. However, every 20 s, somewhere in the world a TB patient dies [ 2 ]. The rates of morbidity and mortality steadily fell in the developed countries during the 20th century due to better treatment and prevention measures along with good public health practices.…”

Section: Introductionmentioning

confidence: 99%

A Saudi Arabian Public Health Perspective of Tuberculosis

Saati

Khurram

Faidah

et al. 2021

IJERPH

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Tuberculosis is a global health challenge due to its spreading potential. The Kingdom of Saudi Arabia (KSA) faces a challenge in the spread of tuberculosis from migrant workers, but the foremost threat is the huge number of pilgrims who travel to visit sacred sites of the Islamic world located in the holy cities of Makkah and Al Madina. Pilgrims visit throughout the year but especially in the months of Ramadan and Zul-Hijah. The rise of resistance in Mycobacterium tuberculosis is an established global phenomenon that makes such large congregations likely hotspots in the dissemination and spread of disease at a global level. Although very stringent and effective measures exist, the threat remains due to the ever-changing dynamics of this highly pathogenic disease. This overview primarily highlights the current public health challenges posed by this disease to the Saudi health system, which needs to be highlighted not only to the concerned authorities of KSA, but also to the concerned global quarters since the pilgrims and migrants come from all parts of the world with a majority coming from high tuberculosis-burdened countries.

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Section: Introductionmentioning

confidence: 99%

A Saudi Arabian Public Health Perspective of Tuberculosis

Saati

Khurram

Faidah

et al. 2021

IJERPH

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“…Commonly, symptoms have persisted for weeks or months before the diagnosis is achieved. In summary, clinical manifestations of abdominal TB depend on the form of ~ 146 ~ disease and may also include weight loss, abdominal distension, hepatomegaly, diarrhea, constipation, abdominal mass, ascites and night sweats [4,10,11] . Among 50%-80% of patients, laboratory tests can demonstrate anemia, thrombocytosis, increased sedimentation rate and C-reactive protein level and the white blood count is usually normal, as seen in this case [1,4,11,12] .…”

Section: Discussionmentioning

confidence: 99%

“…The utility of PCR varies depending on the tissue type. Sensitivity and specificity are high for pancreatic, hepatic tissue and peritoneal fluid, but intestinal tissue analysis may be associated with false-positive results [4] . The yield of ascitic fluid PCR for diagnosis of PTB has not been well established [1,4] .…”

Section: Discussionmentioning

confidence: 99%

“…Sensitivity and specificity are high for pancreatic, hepatic tissue and peritoneal fluid, but intestinal tissue analysis may be associated with false-positive results [4] . The yield of ascitic fluid PCR for diagnosis of PTB has not been well established [1,4] . Similar to our case, about 40-85% of patients with PTB have a positive Mantoux test and this simple, non-invasive test can also provide useful diagnostic information [1,11] .…”

Section: Discussionmentioning

confidence: 99%

“…Extra-pulmonary manifestations of TB occur in about 20% of cases [1] . Abdominal TB is rare in children without any comorbidity such as cirrhosis, HIV infection, diabetes mellitus, cancer, treatment with anti-tumor necrosis factor agents and use of peritoneal dialysis [1,4] , with a similar prevalence across all paediatric age groups and sexes [1,5] . In adults, 3% of TB cases have abdominal involvement compared with 0.3% of paediatric cases [5] .…”

Section: Introductionmentioning

confidence: 99%

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Peritoneal and genital tuberculosis in an adolescent: A challenging diagnosis

Ferrito¹,

Marques²,

Cabral³

et al. 2021

Int. J. Paediatrics Geriatrics

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Introduction: Extra-pulmonary manifestations of tuberculosis occur in about 20% of cases. Peritoneal and genital tuberculosis are uncommon, especially in children without any comorbidity. Case report: A previously healthy 14-year-old girl, presented complaints of weight loss, anorexia, abdominal pain and fever. On examination, she was febrile, with rebound abdominal tenderness and abdominal distension. Ultrasonography reported peritoneal fluid, fibrin strands and complex cystic lesions in the adnexal region. Laparotomy evidenced multiple peritoneal cysts, purulent exudate with bilateral pyosalpinx. Mycobacterium tuberculosis was isolated in culture and confirmed the diagnosis of Peritoneal Tuberculosis. Antituberculous quadruple therapy and corticosteroids were started, with good clinical response. Conclusions: Peritoneal and genital tuberculosis are uncommon in children, but have high fatality and infertility rate. Due to the nonspecific clinical, laboratory or radiology findings, diagnosis is often delayed. This report highlights the need for a big suspicious index of the disease for an accurate and early diagnosis.

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Gastrointestinal and Abdominal Tuberculosis

Eraksoy

2021

Gastroenterology Clinics of North America

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Peritoneal tuberculosis in a health-care worker, radio-pathological assessment and diagnosis, a case report

Cited by 5 publications

References 16 publications

A Saudi Arabian Public Health Perspective of Tuberculosis

A Saudi Arabian Public Health Perspective of Tuberculosis

Peritoneal and genital tuberculosis in an adolescent: A challenging diagnosis

Gastrointestinal and Abdominal Tuberculosis

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