Peritoneal Tuberculosis in a 15-Month-Old Male: Surgical Diagnosis of an Insidious Disease
| Autor: | Sharon Calaman, Scott M. Klein, Edward Shlasko, Mario W Katigbak |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
Microbiology (medical) medicine.medical_specialty Pediatrics Tuberculosis Antitubercular Agents Peritonitis Tuberculous Peritonitis Disease Fatal Outcome Humans Paracentesis Medicine Diagnostic Errors business.industry Ascites Infant Surgical procedures medicine.disease Surgery Infectious Diseases Intestinal Perforation Surgical Procedures Operative Clinical diagnosis Surgical diagnosis business Complication Peritoneal tuberculosis |
| Zdroj: | Surgical Infections. 6:255-258 |
| ISSN: | 1557-8674 1096-2964 |
| DOI: | 10.1089/sur.2005.6.255 |
| Popis: | Peritoneal involvement is a relatively rare complication of tuberculosis, accounting for approximately 3.3% of extrapulmonary disease in the United States. Clinical diagnosis relies on a preponderance of indirect evidence and is often delayed. We describe such a patient.An otherwise healthy 15-month-old male presented with fever, abdominal distention, vague abdominal pains, and a few episodes of watery diarrhea. Standard laboratory and radiologic work-up was unrevealing, and after a prolonged hospitalization, caseating granulomas were identified at diagnostic laparotomy.Definitive treatment was further delayed pending culture results, and the patient's condition worsened until fulminant cardiovascular collapse led to his demise.Despite effective chemotherapeutic regimens, the overall mortality of tuberculous peritonitis may be as high as 51%. The diagnosis must be considered and empiric antituberculous treatment started early in the course of the disease, even if definitive diagnosis is still pending. |
| Databáze: | OpenAIRE |
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