Corticosteroid Treatment of Peritoneal Tuberculosis
| Autor: | Abdulrahman A. Alrajhi, Magid Halim, Kawther Al Omran, Fahad Alrabiah, Abdullah Al Hokail |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Abdominal pain Tuberculosis medicine.drug_class medicine.medical_treatment Antitubercular Agents Peritonitis Tuberculous Peritonitis Pharmacotherapy Laparotomy medicine Humans Glucocorticoids Chemotherapy business.industry Emergency department Middle Aged medicine.disease Surgery Infectious Diseases Prednisone Corticosteroid Drug Therapy Combination Female medicine.symptom business |
| Zdroj: | Clinical Infectious Diseases. 27:52-56 |
| ISSN: | 1537-6591 1058-4838 |
| DOI: | 10.1086/514627 |
| Popis: | Corticosteroids are beneficial as treatment of certain tuberculosis syndromes. We reviewed all cases of peritoneal tuberculosis diagnosed at our institution over 10 years to evaluate the role of corticosteroid administration combined with antituberculous therapy. Nine patients were treated with steroids plus antituberculosis agents (cases), and 26 received antituberculosis treatment only (controls). The two groups were not significantly different in terms of their basic demographics or disease. Nineteen controls compared with one case had recurrent abdominal pain. Seven controls had 17 emergency department visits because of abdominal pain. Intestinal obstruction was diagnosed for five of these patients, four of whom underwent laparotomy revealing extensive adhesions. Three controls died, and no case died. No case required laparotomy, had a diagnosis of intestinal obstruction, or visited the emergency department because of abdominal pain. These findings suggest that corticosteroid administration combined with antituberculosis treatment reduces the frequency of morbidity and complications in patients with peritoneal tuberculosis. |
| Databáze: | OpenAIRE |
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