Peritoneal tuberculosis in Qatar: A five-year hospital-based study from 2005 to 2009

Khan, Fahmi Yousef; Al-Muzrakchi, Ahmed; Elbedawi, Mamoon; Al-Muzrakchi, Attor; Tabeb, Abdulhakeem Al

doi:10.1016/j.tmaid.2011.12.001

Cited by 9 publications

(12 citation statements)

References 33 publications

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“…Considerable overlap of these types can be observed. 6 The typical analysis of ascitic fluid from patients with peritoneal TB demonstrates high protein concentration (>3 g/dl) with serum to ascites albumin gradient of <1.1 g/dl and predominant lymphocytic pleocytosis. Identification of Acid-fast bacilli in the ascitic fluid through both smear and culture methods remains a useful mean to diagnose peritoneal TB.…”

Section: Discussionmentioning

confidence: 99%

“…3 Peritoneal TB accounts for about 0.1%-0.7% of all cases of TB representing 4%-10% of extra-pulmonary TB and 25%-60% of abdominal TB cases. [4][5][6] Although peritoneal TB can develop at any age, peritoneal TB is seen more commonly between 25 and 55 years of age. The gender difference among patients with peritoneal TB varies from study to study and from country to another.…”

Section: Discussionmentioning

confidence: 99%

“…In general, in developing countries, [7][8][9][10][11] the disease is observed predominantly in females, while in industrialized and some rich countries, there is male predominance which may be attributed to the presence of male immigrants in the workforce. 6,[12][13][14][15] The postulated mechanisms by which peritoneum can be involved are: 16,17 1) Reactivation of latent tuberculous foci in the peritoneum, acquired by haematogenous spread from a primary lung focus. 2) Haematogenous spread from active pulmonary, miliary TB or silent bacteremia during the primary phase of TB.…”

Section: Discussionmentioning

confidence: 99%

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Unusual case of tubercular peritonitis

Devi¹,

Athul²

2021

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Unusual case of tubercular peritonitis

Devi¹,

Athul²

2021

Int J Reprod Contracept Obstet Gynecol

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“…The clinical manifestations of TbP are variable and it may mimic many diseases and conditions such as pyrexia of unknown origin, peritoneal carcinomatosis, abdominal lymphoma, pelvic mass, bacterial peritonitis and non-responsive ascites of portal hypertension or cardiac failure origin [2].…”

Section: Discussionmentioning

confidence: 99%

“…TbP occurs in 4% -10% of patients with extra pulmonary tuberculosis [2]. Clinically active TbP can occur through hematogenous spread from active pulmonary lesions, rupture of infected caseous abdominal lymph nodes or reactivation of latent peritoneal foci.…”

Section: Introductionmentioning

confidence: 99%

Peritoneal Tuberculosis: Looking beyond the Typical Pathology

Lewis¹,

Tammana²,

Sealy³

2014

OJIM

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Peritoneal tuberculosis (TbP), an uncommon peritoneal infection, is commonly diagnosed in immigrants from developing countries and represents a substantial proportion of cases of extra pulmonary tuberculosis. The variability in patient presentation and the indolent nature of the infection, combined with limited diagnostic strategies available for TbP, often results in delayed diagnosis. Case: Described herein is the case of a 39 years old male recent immigrant from Mali (West Africa), with no significant medical history that presented to hospital with a four-day history of abdominal pain and swelling. Examination was significant for distended abdomen and shifting dullness. No signs and symptoms suggested pulmonary infection, however, QuantiFERON-TB Gold and purified protein derivative (PPD) test were positive suggesting latent Tb infection. In the absence of pulmonary tuberculosis, a diagnosis of TbP should be established histologically. Laparoscopic biopsy showed granuloma but the typical caseating granuloma of TbP was not seen. Nonetheless, based on the extent of the clinical and laboratory findings, the patient was diagnosed with TbP and anti Tb treatment ensued with successful outcome. Conclusion: The lack of caseating granulomas in the pathology should not rule out a diagnosis of TbP, especially in cases where accompanying evidence suggests some form of Tuberculosis.

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Peritoneal tuberculosis masquerading as an ovarian malignancy in a young female: A case report

Oppong,

Gyabaah,

Amponsah

et al. 2024

Clinical Case Reports

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The clinical manifestations of peritoneal tuberculosis are quite variable, nonspecific and mimic many diseases and pathological conditions such as lymphoma, and ovarian malignancy. Due to this clinical overlap and limited accuracy of diagnostic tests, more awareness of this disease is required to enable early diagnosis and prompt treatment. This is a case of a 25‐year‐old female with no known chronic illness who presented with worsening generalized abdominal pains and distension of 2 months duration. There was an associated significant weight loss of 17 kg. She was initially diagnosed with ovarian malignancy based of ultrasound findings and elevated CA‐125 levels. However, further evaluation later was consistent with peritoneal tuberculosis for which she was treated. Her symptoms resolved completely after 6 months of anti‐tuberculosis treatment. Diagnosis of abdominal TB remains challenging as it is non‐specific. Its features and clinical manifestation overlap with other conditions such as ovarian malignancy. A high index of suspicions and judicious application of the available diagnostic test is need for prompt diagnosis. No single test can effectively diagnose peritoneal TB, but a combination of history, and radiological, immunologic, molecular, and cytologic tests are important.

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Peritoneal tuberculosis in Qatar: A five-year hospital-based study from 2005 to 2009

Cited by 9 publications

References 33 publications

Unusual case of tubercular peritonitis

Unusual case of tubercular peritonitis

Peritoneal Tuberculosis: Looking beyond the Typical Pathology

Peritoneal tuberculosis masquerading as an ovarian malignancy in a young female: A case report

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