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Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient

Tuberculosis (TB) remained as one of the top 10 causes of death worldwide despite an overall decline in its incidence rate globally. Extrapulmonary TB is uncommon and only accounts for 10–20% of overall TB disease burden. Abdominopelvic TB is the sixth most common location of extrapulmonary TB. The...

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Autores principales: Ng, Beng Kwang, Yakob, Kembang Aziah, Ng, Wendy Yin Ling, Lim, Pei Shan, Abd Rahman, Rahana, Abdul Karim, Abdul Kadir, Zainuddin, Ani Amelia, Mahdy, Zaleha Abdullah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702933/
https://www.ncbi.nlm.nih.gov/pubmed/29259630
http://dx.doi.org/10.1155/2017/9016782
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author Ng, Beng Kwang
Yakob, Kembang Aziah
Ng, Wendy Yin Ling
Lim, Pei Shan
Abd Rahman, Rahana
Abdul Karim, Abdul Kadir
Zainuddin, Ani Amelia
Mahdy, Zaleha Abdullah
author_facet Ng, Beng Kwang
Yakob, Kembang Aziah
Ng, Wendy Yin Ling
Lim, Pei Shan
Abd Rahman, Rahana
Abdul Karim, Abdul Kadir
Zainuddin, Ani Amelia
Mahdy, Zaleha Abdullah
author_sort Ng, Beng Kwang
collection PubMed
description Tuberculosis (TB) remained as one of the top 10 causes of death worldwide despite an overall decline in its incidence rate globally. Extrapulmonary TB is uncommon and only accounts for 10–20% of overall TB disease burden. Abdominopelvic TB is the sixth most common location of extrapulmonary TB. The symptoms and signs are often insidious and nonspecific. Diagnosing abdominopelvic TB can be very challenging at times and poses great difficulties to the clinician. Infection with nontuberculous Mycobacterium (NTM) is even rarer especially in an immunocompetent patient. We report a case of NTM in abdominopelvic TB. A 37-year-old foreign worker, para 3, presented with a one-week history of suprapubic pain associated with fever. An assessment showed presence of a right adnexal mass. She was treated as tuboovarian abscess with intravenous antibiotics. Unfortunately, she did not respond. She underwent exploratory laparotomy. Intraoperatively, features of the mass were suggestive of a right mature cystic teratoma with presence of slough and cheesy materials all over the abdominal cavity as well as presence of ascites. Diagnosis of NTM was confirmed with PCR testing using the peritoneal fluid. This case was a diagnostic dilemma due to the nonspecific clinical presentation. Management of such rare infection was revisited.
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spelling pubmed-57029332017-12-19 Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient Ng, Beng Kwang Yakob, Kembang Aziah Ng, Wendy Yin Ling Lim, Pei Shan Abd Rahman, Rahana Abdul Karim, Abdul Kadir Zainuddin, Ani Amelia Mahdy, Zaleha Abdullah Case Rep Med Case Report Tuberculosis (TB) remained as one of the top 10 causes of death worldwide despite an overall decline in its incidence rate globally. Extrapulmonary TB is uncommon and only accounts for 10–20% of overall TB disease burden. Abdominopelvic TB is the sixth most common location of extrapulmonary TB. The symptoms and signs are often insidious and nonspecific. Diagnosing abdominopelvic TB can be very challenging at times and poses great difficulties to the clinician. Infection with nontuberculous Mycobacterium (NTM) is even rarer especially in an immunocompetent patient. We report a case of NTM in abdominopelvic TB. A 37-year-old foreign worker, para 3, presented with a one-week history of suprapubic pain associated with fever. An assessment showed presence of a right adnexal mass. She was treated as tuboovarian abscess with intravenous antibiotics. Unfortunately, she did not respond. She underwent exploratory laparotomy. Intraoperatively, features of the mass were suggestive of a right mature cystic teratoma with presence of slough and cheesy materials all over the abdominal cavity as well as presence of ascites. Diagnosis of NTM was confirmed with PCR testing using the peritoneal fluid. This case was a diagnostic dilemma due to the nonspecific clinical presentation. Management of such rare infection was revisited. Hindawi 2017 2017-11-13 /pmc/articles/PMC5702933/ /pubmed/29259630 http://dx.doi.org/10.1155/2017/9016782 Text en Copyright © 2017 Beng Kwang Ng et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ng, Beng Kwang
Yakob, Kembang Aziah
Ng, Wendy Yin Ling
Lim, Pei Shan
Abd Rahman, Rahana
Abdul Karim, Abdul Kadir
Zainuddin, Ani Amelia
Mahdy, Zaleha Abdullah
Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient
title Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient
title_full Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient
title_fullStr Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient
title_full_unstemmed Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient
title_short Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient
title_sort abdominopelvic tuberculosis secondary to a nontuberculous mycobacterium in an immunocompetent patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702933/
https://www.ncbi.nlm.nih.gov/pubmed/29259630
http://dx.doi.org/10.1155/2017/9016782
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