Tuberculous Peritonitis

Sep 16, 2019 admin NHIỄM KHUẨN, TIÊU HÓA 0

Tuberculous Peritonitis

Aka: Tuberculous Peritonitis, Peritonitis due to Mycobacterium tuberculosis

II. Risk Factors

  1. HIV Infection
  2. Cirrhosis
  3. Ambulatory Peritoneal Dialysis

III. Pathophysiology

  1. Results from peritoneal Tuberculosis reactivation

IV. Symptoms

  1. Abdominal Pain
  2. Fever

V. Signs

  1. Ascites

VI. Laboratory: Peritoneal fluid

  1. Exudative: Serum to Ascites albumin <1.1 g/dl
  2. White Blood Cells >150/mm3 with Lymphocyte predominance
  3. Send fluid for AFB smear and culture
    1. One liter is preferred to increase Test Sensitivity
  4. Measures with highest sensitivity and Specificity
    1. Adenosine deaminase >33 U/L
    2. Peritoneal biopsy

VII. Management

  1. See Extrapulmonary Tuberculosis

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