Tuberculous peritonitis – reports of 26 cases, detailing diagnostic and therapeutic problems

Demır, Kadir; Ökten, Atilla; Kaymakoğlu, Sabahattin; Dincer, Dinc; Beşışık, Fatih; Çevikbaş, Uğur; Özdil, Sadakat; Bostas, Güngör; Mungan, Zeynel; Çakalǒglu, Yılmaz

doi:10.1097/00042737-200105000-00019

Cited by 126 publications

(83 citation statements)

References 25 publications

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“…The most common features were ascites (93 percent), abdominal pain (73 percent), and fever (58 percent). Abdominal pain and ascites were also the most common presenting features in several other reports [9][10][11]. Our patient initially presented high grade fever, abdominal pain and ascites from three months after delivery of her child continuously for a year.…”

Section: Discussionsupporting

confidence: 58%

Post-delivery mycobacterium tuberculosis infection misdiagnosed as systemic lupus erythematosus

Ting

Shrestha

et al. 2016

J Infect Dev Ctries

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Tuberculosis is a common infectious mycobacterial disease having a wide range of clinical and serological manifestations that are similar to rheumatic disease. Differential diagnosis is a crucial aspect in any rheumatic disease as many other infectious diseases portray clinical similarities and autoantibody positivity. Our case report illustrates of a young woman just after the delivery of a child presented an unusual case of extrapulmonary tuberculosis infection initially misdiagnosed as systemic lupus erythematosus (SLE).

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Section: Discussionsupporting

confidence: 58%

Post-delivery mycobacterium tuberculosis infection misdiagnosed as systemic lupus erythematosus

Ting

Shrestha

et al. 2016

J Infect Dev Ctries

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“…[55][56][57] Computed tomography (CT) imaging may reveal radiological features of ascites, peritoneal lesions and lymphadenopathy. 58 A diagnosis may be made by positive cultures from ascitic fluid; however, sensitivity has been reported to be less than 10%.…”

Section: Peritoneal Tuberculosismentioning

confidence: 99%

“…58 A diagnosis may be made by positive cultures from ascitic fluid; however, sensitivity has been reported to be less than 10%. 55 Peritoneal biopsy may show histological features of granulomas in 97% 55,59 and positive cultures in 68%. 59 Biopsy may be performed by laparoscopy or laparotomy, but laparoscopy is felt to be safer and superior in the diagnosis of TB peritonitis.…”

Section: Peritoneal Tuberculosismentioning

confidence: 99%

A systematic review of rapid diagnostic tests for the detection of tuberculosis infection

Dinnes¹,

Deeks²,

Kunst³

et al. 2007

Health Technol Assess

525

361

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“…Especially diagnosis of exudative ascites (including lymphoma, various for ms of peritonitis, peritoneal carcinomatosis, and peritoneal tuberculosis) is a dilemma. Non-invasive tests such as laboratory tests, acid-fast stain and culture of the ascitic fluid, ADA levels are usually insufficient for the differential diagnosis of ascites [19,20] . Therefore laparoscopy with directed biopsy is necessary for the diagnosis of ascites.…”

Section: Introductionmentioning

confidence: 99%

Leptin levels in the differential diagnosis between benign and malignant ascites

Büyükberber

Koruk²,

Savaş³

et al. 2007

WJG

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AIM:To evaluate the role of leptin levels in the differential diagnosis of ascites. METHODS:Ascitic leptin, TNFα and serum leptin levels were measured in 77 patients with ascites (35 with malignancies, 30 cirrhosis and 12 tuberculosis). Control serum samples were obtained from 20 healthy subjects. Leptin and TNFα levels were measured by ELISA. Body mass index (BMI) and percentage of body fat (BFM) by skin fold measurement were calculated for all patients and control groups. Peritoneal biopsy, ascites cytology and cultures or biochemical values were used for the diagnosis of patients. RESULTS:In patients with malignancies, the mean serum and ascites leptin levels and their ratios were significantly decreased compared to the other patient groups and controls. In tuberculosis peritonitis, ascitic fluid TNFα levels were significantly higher than malignant ascites and cirrhotic sterile ascites. BMI and BFM values did not distinguish between patients and controls. CONCLUSION:In patients with malignant ascites, levels of leptin and TNFα were significantly lower than in patients with tuberculous ascites.

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Tuberculous peritonitis – reports of 26 cases, detailing diagnostic and therapeutic problems

Cited by 126 publications

References 25 publications

Post-delivery mycobacterium tuberculosis infection misdiagnosed as systemic lupus erythematosus

Post-delivery mycobacterium tuberculosis infection misdiagnosed as systemic lupus erythematosus

A systematic review of rapid diagnostic tests for the detection of tuberculosis infection

Leptin levels in the differential diagnosis between benign and malignant ascites

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