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[Hepato-splenic and peritoneal tuberculosis. A difficult diagnosis].

G Saed1, G Carosella, S Potalivo

  • 1Ospedale Carlo Forlanini, Dipartimento di Scienze Cardiovascolari e Respiratorie, Università degli Studi di Roma La Sapienza.

Minerva Medica
|April 6, 1999
PubMed
Summary
This summary is machine-generated.

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Peritoneal tuberculosis, a rare Mycobacterium tuberculosis infection, was diagnosed in an 18-year-old female. Prompt anti-tuberculous chemotherapy led to significant clinical improvement.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Gastroenterology

Background:

  • Peritoneal tuberculosis (PTB) is an uncommon manifestation of Mycobacterium tuberculosis, often secondary to pulmonary disease.
  • Primary PTB is rare, presenting diagnostic challenges.
  • This case highlights PTB as a differential diagnosis in persistent fever and abdominal pain.

Observation:

  • An 18-year-old female presented with persistent fever and dry cough, initially misdiagnosed as broncho-pneumonia.
  • Development of right iliac fossa pain prompted anti-tuberculous chemotherapy (isoniazid, rifampicin).
  • Celioscopy revealed characteristic peritoneal, hepatic, and lienal tubercles, confirming disseminated tuberculosis.

Findings:

  • Anti-tuberculous chemotherapy resulted in symptomatic improvement.

Related Experiment Videos

  • Combined treatment with isoniazid, rifampicin, and pyrazinamide led to further clinical and radiological resolution.
  • Diagnosis was confirmed as hepatic, lienal, and peritoneal tuberculosis.

    • Implications:

    • Early diagnosis and appropriate anti-tuberculous therapy are crucial for managing peritoneal tuberculosis.
    • This case underscores the importance of considering extra-pulmonary tuberculosis in undiagnosed febrile illnesses.
    • Celioscopy is a valuable diagnostic tool for peritoneal lesions.