Young Male Presenting with an Acute Diarrheal Illness with Unexplained Transudative Ascites: An Atypical Presentation of Appendicular Tuberculosis
Joint Authors
Dalugama, Chamara
Jayasinghe, Achila
Abeygunawardena, Shamali
Pathirage, Manoji
Ralapanawa, Udaya
Jayasundara, S. S.
Wijetunga, Sulochana
Jayalath, Thilak
Source
Case Reports in Infectious Diseases
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Appendicular tuberculosis is a rare form of extrapulmonary tuberculosis involving the gastrointestinal tract.
Diagnosis of appendicular tuberculosis is difficult due to its atypical presentation.
Histological confirmation remains the gold standard in diagnosis.
Case Presentation.
We report a 37-year-old Sri Lankan male presenting with a diarrheal illness with high fever for 8 days in the background of constitutional symptoms for 1-month duration.
He was pale and had moderate amount of free fluid in the abdomen.
Inflammatory markers were elevated, and CT abdomen revealed a thickened elongated appendix.
Diagnostic paracentesis revealed a lymphocytic transudative ascites.
A macroscopically minimally inflammed appendix removed at laparotomy and histology confirmed presence of tuberculous granulomata with caseation.
He made an uneventful recovery by the anti-tuberculous therapy.
Conclusion.
High degree of suspicion is needed in diagnosis of appendicular tuberculosis due to its nonspecific presentation, and we emphasize the need of histological assessment of the appendix resected for the case of clinical appendicitis, as it may prompt the diagnosis of a rare but treatable case of tuberculosis.
American Psychological Association (APA)
Dalugama, Chamara& Jayasinghe, Achila& Abeygunawardena, Shamali& Pathirage, Manoji& Jayalath, Thilak& Ralapanawa, Udaya…[et al.]. 2020. Young Male Presenting with an Acute Diarrheal Illness with Unexplained Transudative Ascites: An Atypical Presentation of Appendicular Tuberculosis. Case Reports in Infectious Diseases،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1148284
Modern Language Association (MLA)
Dalugama, Chamara…[et al.]. Young Male Presenting with an Acute Diarrheal Illness with Unexplained Transudative Ascites: An Atypical Presentation of Appendicular Tuberculosis. Case Reports in Infectious Diseases No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1148284
American Medical Association (AMA)
Dalugama, Chamara& Jayasinghe, Achila& Abeygunawardena, Shamali& Pathirage, Manoji& Jayalath, Thilak& Ralapanawa, Udaya…[et al.]. Young Male Presenting with an Acute Diarrheal Illness with Unexplained Transudative Ascites: An Atypical Presentation of Appendicular Tuberculosis. Case Reports in Infectious Diseases. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1148284
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148284