Tuberculosis abdominal: patología infrecuente en un paciente joven. Reporte de un caso

Abstract

Introduction: Abdominal tuberculosis is a reemerging problem and is one of the most important communicable diseases in the world. Despite expectations about the eradication in developing countries, it has recently been re-declared as a global emergency pathology. The increased incidence and prevalence shows an abdominal shape as one of the most common extrapulmonary involvement presentations. Objective: Since tuberculosis can affect various organs, it has a wide range and spectrum of signs and symptoms that make diagnosis difficult and delay treatment. Therefore, this review of the topic is done, concentrating on the fact that the high suspicion index should be an important factor in the early diagnosis. Treatment can be initiated helping to prevent and reduce high morbidity and mortality rates. Case Report: We present a case of a young patient with ascites secondary to abdominal tuberculosis confirmed by biopsy and increased adenosine deaminase in the peritoneal fluid. The main clinical findings, paraclinic, imaging studies and treatment are described.

Tuberculosis peritoneal, un diagnóstico diferencial para ascitis en cirrosis

“…La coloración de ZN es positiva en apenas el 3 % de los casos y el cultivo sigue siendo la prueba de oro, para lo cual se tienen en general técnicas en medio sólido y líquido como el método de cultivo bacteriológico automatizado BACTEC, cuya ventaja es disminuir el tiempo de proceso a la mitad (1,9). En una revisión sistemática, Sanai y Bzeizi reportaron positividad en el 35 % de los casos (2).…”