Difficulty in diagnosing peritonitis caused by multidrug‐resistant tuberculosis

KEY CLINICAL MESSAGE: The low sensitivity of ascites culture for acid‐fast bacilli necessitates a peritoneal biopsy when tuberculous peritonitis is suspected. Findings in the peritoneum on computed tomography may prompt suspicion of tuberculous peritonitis. ABSTRACT: A 47‐year‐old Nigerian man prese...

Descripción completa

Detalles Bibliográficos
Autores principales: Aoyama, Sayaka, Yamashita, Shun, Ishizuka, Kosuke, Katsukura, Shinichi, Matsuura, Hiroki, Kato, Mikiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Case Images
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465719/
https://www.ncbi.nlm.nih.gov/pubmed/37655128
http://dx.doi.org/10.1002/ccr3.7759
Descripción
Sumario:KEY CLINICAL MESSAGE: The low sensitivity of ascites culture for acid‐fast bacilli necessitates a peritoneal biopsy when tuberculous peritonitis is suspected. Findings in the peritoneum on computed tomography may prompt suspicion of tuberculous peritonitis. ABSTRACT: A 47‐year‐old Nigerian man presented with fever, abdominal distention, and weight loss. Abdominal computed tomography revealed massive ascites and peritoneal thickening. Despite failing to culture acid‐fast bacilli from ascites, histological examination and culture of peritoneum revealed multidrug‐resistant tuberculosis peritonitis. Peritoneal biopsy is mandatory when tuberculosis peritonitis is suspected.

Ejemplares similares