학술논문

Difficulty in diagnosing peritonitis caused by multidrug‐resistant tuberculosis.
Document Type
Case Study
Source
Clinical Case Reports. Sep2023, Vol. 11 Issue 9, p1-3. 3p.
Subject
*MULTIDRUG-resistant tuberculosis
*PERITONITIS
*DIAGNOSIS
*COMPUTED tomography
*TUBERCULOSIS
Language
ISSN
2050-0904
Abstract
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. 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. [ABSTRACT FROM AUTHOR]