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[Peritoneal tuberculosis: a 16-year review in a general hospital]

María Pilar Martín-Fortea1, Miguel Angel Aibar, Begoña de Escalante

  • 1Servicio de Medicina Interna, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España. pilarmartinfortea@gmail.com

Enfermedades Infecciosas Y Microbiologia Clinica
|November 17, 2009
PubMed
Abstract

Insights

Peritoneal tuberculosis (PT) is a rare abdominal infection. Diagnosis often requires histology, but prompt treatment leads to a good prognosis for patients with this form of tuberculosis.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Gastroenterology

Context:

  • Peritoneal tuberculosis (PT) is a rare manifestation of abdominal tuberculosis, accounting for 1%-3% of all tuberculosis cases.
  • PT often presents with non-specific symptoms, complicating early diagnosis.
  • This study reviews 16 years of PT cases to analyze epidemiological, clinical, diagnostic, and outcome data.

Purpose:

  • To analyze the epidemiological, clinical, diagnostic, and outcome data of peritoneal tuberculosis cases.
  • To evaluate the effectiveness of diagnostic methods, including histology and ascitic fluid culture.
  • To assess the prognosis and treatment outcomes for patients with peritoneal tuberculosis.

Summary:

  • Out of 462 extrapulmonary tuberculosis cases, 13 (2.8%) had peritoneal tuberculosis; only one patient was HIV-positive.
  • Histological findings were crucial for diagnosis in most patients; ascitic fluid culture confirmed diagnosis in 3 cases.
  • Treatment involved 3 or 4 antituberculosis agents, with 8 patients progressing favorably and 5 deaths attributed to underlying conditions.

Impact:

  • Peritoneal tuberculosis can occur independently of other tuberculous conditions.
  • Histological examination is typically necessary for definitive diagnosis.
  • Early and appropriate treatment of peritoneal tuberculosis is associated with a favorable prognosis.

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