Diagnostic features of tuberculous peritonitis in the absence and presence of chronic liver disease: a case control study.

@article{Shakil1996DiagnosticFO,
  title={Diagnostic features of tuberculous peritonitis in the absence and presence of chronic liver disease: a case control study.},
  author={A. Shakil and J. Korula and G. Kanel and N. Murray and T. Reynolds},
  journal={The American journal of medicine},
  year={1996},
  volume={100 2},
  pages={
          179-85
        }
}
PURPOSE To determine diagnostic features of tuberculous peritonitis (TBP) in the absence and presence of chronic liver disease. PATIENTS AND METHODS Thirty-four patients with TBP (13 without [Group I] and 21 with chronic liver disease [Group II] and 26 controls with cirrhosis and uninfected ascites (Group III) were studied. RESULTS The clinical features in Groups I and II were similar and all patients had elevated ascitic fluid total mononuclear cell count. In Groups I, II, and III… Expand
Diagnostic feature of tuberculous peritonitis in patients with cirrhosis: A matched case-control study
TLDR
The results of the present study indicate that TBP should be considered in cirrhotic patients with relevant clinical manifestations and characteristics of laboratory observations. Expand
Analysis of cases with tuberculous peritonitis: a single-center experience.
TLDR
Serum CA-125 levels may play a key role to support the diagnosis as well as disease management of TP, and peritoneal tuberculosis should be considered in the differential diagnosis of exudative ascites in eastern Turkey. Expand
Tuberculosis peritonitis in Negara Brunei Darussalam.
TLDR
TBP patients had significantly lower haemoglobin and serum albumin levels and experienced more adverse events during treatment, and there were no differences in non-specific symptoms between TBP and PTB. Expand
[Current profile of peritoneal tuberculosis: study of a Tunisian series of 42 cases and review of the literature].
TLDR
Dealing with peritoneal tuberculosis is a challenge for clinicians, and coelioscopy withperitoneal biopsies still remains the method of choice to establish a definite diagnosis. Expand
Adenosine deaminase activity in tuberculous peritonitis among patients with underlying liver cirrhosis.
TLDR
Even with lower ADA activity in ascites among cirrhotic patients, ADA values were significantly elevated during TBP, indicating that ADA can still be a valuable diagnostic tool. Expand
Tuberculous peritonitis in cirrhotic patients: Comparison of spontaneous bacterial peritonitis caused by Escherichia coli with tuberculous peritonitis
TLDR
Compared to SBP, TP in cirrhotic patients was more frequently associated with extra-peritoneal tuberculosis, an insidious onset, and Child–Pugh classification class B at onset, while SBP was associated with lower white blood cell count in ascites and higher adenosine deaminase activity. Expand
Utility of Ascitic Fluid Adenosine Deaminase Levels in the Diagnosis of Tuberculous Peritonitis in General Medical Practice
TLDR
Investigation of the sensitivity and specificity of elevated adenosine deaminase (ADA) levels as a diagnostic marker for tuberculous peritonitis showed excellent sensitivity, despite a low PPV, for the diagnosis of tuberculosis. Expand
The wet‐ascitic form of tuberculous peritonitis
TLDR
A 61-year-old Cambodian woman with compensated cirrhosis secondary to chronic hepatitis B virus infection presented with abdominal swelling associated with fatigue and anorexia and an acid-fast stain and culture of the ascitic fluid were negative for tuberculosis. Expand
Diagnostic challenges of tuberculosis peritonitis in upper Egypt
TLDR
TB peritonitis was common among middle-aged females and laparoscopy and histopathology were the best diagnostic modalities. Expand
Tuberculous peritonitis-associated mortality is high among patients waiting for the results of mycobacterial cultures of ascitic fluid samples.
TLDR
Univariate analysis showed that advanced age, underlying diagnosis, and delayed initiation of therapy were associated with higher mortality rates and standard antituberculous chemotherapy is highly effective. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 27 REFERENCES
Tuberculous Peritonitis: A Study Comparing Cirrhotic and Noncirrhotic Patients
Tuberculous peritonitis is a rare disease, which often goes unrecognized because of the subtle clinical clues and its insidous onset. We retrospectively analyzed the records of 37 cases ofExpand
Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy and biopsy over a five year period.
TLDR
Clinical features and laboratory investigations in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy at this hospital between 1984 and 1988 found that tuberculosis was more common in women than men, and was most frequently encountered in the third and fourth decades of life. Expand
Adenosine deaminase (ADA) in peritoneal tuberculosis: diagnostic value in ascitic fluid and serum.
Simultaneous determination of ascitic fluid and serum adenosine deaminase (ADA) activity was evaluated as a diagnostic aid in peritoneal tuberculosis. The ascites was due to peritoneal tuberculosisExpand
Adenosine deaminase activity in the diagnosis of tuberculous peritonitis.
TLDR
In patients with tuberculous peritonitis the enzyme activity was significantly higher than for the rest of the groups (p less than 0.001), and enzyme concentrations in all patients were well above the upper non-tuberculous value. Expand
Abdominal tuberculosis in Saudi Arabia: a clinicopathological study of 65 cases.
TLDR
Laroscopy was found to be safer and superior to laparatomy and is recommended as an initial investigation in the diagnostic work-up of patients in whom tuberculous peritonitis is suspected and is a justification for immediate therapy in such patients. Expand
Abdominal tuberculosis: experiences with 300 cases.
TLDR
This common malady, with its protean profiles and varied complications continues to challenge the diagnostic acumen and therapeutic skill of clinicians practicing various discplines of medicine. Expand
Tuberculous peritonitis in Egypt: the value of laparoscopy in diagnosis.
TLDR
Tuberculous peritonitis, a frequent cause of febrile ascites in Egyptian women, was easily diagnosed by histopathologic and bacteriologic studies of biopsy samples taken at laparoscopy and responded rapidly to antituberculosis therapy. Expand
Abdominal tuberculosis: still a potentially lethal disease.
TLDR
Fourteen cases of intestinal, 11 of mesenteric-lymphnodal, and 57 of peritoneal tuberculosis were identified, and the disease occurred essentially in patients living under worsening socioeconomic conditions, and 51 of them had associated pulmonary tuberculosis. Expand
Tuberculosis of the gastrointestinal tract and peritoneum.
  • J. Marshall
  • Medicine
  • The American journal of gastroenterology
  • 1993
TLDR
Serologic tests for diagnosing tuberculosis are being improved and evaluated in intestinal tuberculosis, and the measurement of ascites adenosine deaminase levels represents a major diagnostic advance in tuberculous peritonitis. Expand
Gastrointestinal tuberculosis: a retrospective review of 109 cases in a district general hospital.
In a retrospective survey of 109 patients with gastrointestinal tuberculosis, 91 occurred in immigrants of Asian origin, six were diagnosed at post-mortem, and only 31 had evidence of pulmonaryExpand
...
1
2
3
...