Peritoneal Tuberculosis in an Immunocompetent, Unknown Risk Patient
Joint Authors
Yecies, Emmanuelle B.
Tomizawa, Yutaka
Sohnen, Adam E.
Craig, Fiona E.
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-06-26
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 36-year-old man with no significant past medical history presented with two-month abdominal distention, night sweats, and weight loss of 15 Ib.
He had no known exposure to tuberculosis.
PPD test was negative prior to the hospital admission.
Physical examination was notable for new onset ascites, but no superficial lymphadenopathy or stigmata of chronic liver disease was found.
CT scan demonstrated enlarged mesenteric lymph nodes, and prominent retroperitoneal lymph nodes along with moderate ascites and omental infiltration.
Diagnostic paracentesis yielded WBC of 295/mm3, lymphocytic predominance (70%), and serum ascitic albumin gradient of 0.1, consistent with exudate.
Both the ascitic culture and AFB smear were negative, and ascitic cytology revealed nonmalignant cells.
Exploratory laparoscopy for excisional biopsy of mesenteric lymph nodes was performed.
Pathologic findings revealed caseous granulomas with scattered multinucleated giant cells.
Mesenteric lymph node tissue culture subsequently grew Mycobacterium tuberculosis complex and the diagnosis of peritoneal tuberculosis was confirmed.
The patient was started on quadruple therapy.
A couple of days after the antibiotics were started, the small bowel obstruction started to resolve with resumption of bowel movements and tolerance of oral intake.
A week later, ascites stopped accumulating and fever was no longer noted.
He has been well and continues to be under observation.
American Psychological Association (APA)
Tomizawa, Yutaka& Yecies, Emmanuelle B.& Craig, Fiona E.& Sohnen, Adam E.. 2013. Peritoneal Tuberculosis in an Immunocompetent, Unknown Risk Patient. Case Reports in Gastrointestinal Medicine،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-1005704
Modern Language Association (MLA)
Tomizawa, Yutaka…[et al.]. Peritoneal Tuberculosis in an Immunocompetent, Unknown Risk Patient. Case Reports in Gastrointestinal Medicine No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-1005704
American Medical Association (AMA)
Tomizawa, Yutaka& Yecies, Emmanuelle B.& Craig, Fiona E.& Sohnen, Adam E.. Peritoneal Tuberculosis in an Immunocompetent, Unknown Risk Patient. Case Reports in Gastrointestinal Medicine. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-1005704
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1005704