Abdominal tuberculosis in a tertiary care centre in Saudi Arabia
| Autor: | Razan Kharraz, Hadi Kuriry, Nisreen Alsherbeeni, Fatehi Elzein, Haris Mohamed, Ali Albarrak, Ayah Boudal, Mohammed Mursi |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal pain Cirrhosis Tuberculosis Adolescent Saudi Arabia Malignancy Inflammatory bowel disease Medical Records Tertiary Care Centers Young Adult 03 medical and health sciences Internal medicine Abdomen medicine Humans Vitamin D Aged Retrospective Studies Aged 80 and over 0303 health sciences 030306 microbiology business.industry Incidence Incidence (epidemiology) Retrospective cohort study Middle Aged Abdominal distension medicine.disease Infectious Diseases Tuberculosis Gastrointestinal CA-125 Antigen Dietary Supplements Female medicine.symptom business Biomarkers |
| Zdroj: | Indian Journal of Tuberculosis. 68:236-241 |
| ISSN: | 0019-5707 |
| DOI: | 10.1016/j.ijtb.2020.09.007 |
| Popis: | Objectives Abdominal tuberculosis (ATB) is the second most common type of extra-pulmonary tuberculosis. Though it does not usually pose a significant risk of infectivity, ATB can go unidentified and progress to disseminated infection. The aim of this study is to highlight the incidence and outcome of this infection in a tertiary care centre in the Kingdom of Saudi Arabia (KSA). Methods In this retrospective study, we included all ATB patients admitted to our centre between January 1 st, 2010 and December 31, 2018. A total of 42 patients with a median age of 49 (range 18–83 years, 78.6% males) were identified. Results The most common presentation was abdominal pain, weight loss, and abdominal distension. All the patients were HIV negative; however, 50% had a comorbid condition, mainly diabetes mellitus, chronic renal failure, and liver cirrhosis. Tuberculous peritonitis was the predominant type of ATB. Suspicious and potentially malignant abdominal masses appeared on the abdominal CT scans of six patients. This suggest that TB should be excluded in patients from endemic area presenting with abdominal masses. All patients received standard anti-tuberculous medication for an average duration of 7.4 months. The outcome was excellent with 88%% achieving complete response. Adjunctive corticosteroids were not used, and none of the patients had a surgical complication. Conclusion The diagnosis of ATB is challenging. It can mimic inflammatory bowel disease in young populations and malignancy in middle-aged and elderly population. For this reason, a high index of suspicion with prompt treatment is required to improve the prognosis and prevent complications. |
| Databáze: | OpenAIRE |
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