Tuberculous peritonitis: fatality associated with delayed diagnosis.

Abstract:

:We describe a fatal case of tuberculous peritonitis and review the literature on the diagnostic modalities available to diagnose this entity. We suspect a delayed diagnosis resulted in the death of our patient. Today, the prompt diagnosis of an unknown ascitic process involves laparoscopy. A patient with unknown large volume ascites is the easiest and safest to laparoscope. Using a mini laparoscope, a bedside procedure with instantaneous return can be done. The newer noninvasive tests like determination of ascites fluid adenosine deaminase activity and polymerase chain reaction may be helpful in the prompt diagnosis of peritoneal tuberculosis. We recommend that patients with clinical presentation suggestive of peritoneal tuberculosis have either an aggressive diagnostic workup using high-yield tests or a trial of antituberculous therapy.

journal_name

South Med J

journal_title

Southern medical journal

authors

Ahmad M,Ahmed A

doi

10.1097/00007611-199904000-00010

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

406-8

issue

4

eissn

0038-4348

issn

1541-8243

journal_volume

92

pub_type

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