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Tuberculous peritonitis in Manitoba

T J Marrie, E S Hershfield

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |November 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Tuberculous peritonitis diagnosis was delayed in alcoholic patients due to misattributed symptoms, leading to longer hospitalizations. Early diagnosis is crucial for better outcomes in tuberculous peritonitis.

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    Area of Science:

    • Infectious Diseases
    • Gastroenterology
    • Public Health

    Background:

    • Tuberculous peritonitis is a serious infection affecting the peritoneum.
    • Diagnosis can be challenging, especially in certain patient populations.
    • Alcoholism may complicate the presentation and diagnosis of tuberculous peritonitis.

    Purpose of the Study:

    • To investigate the diagnostic challenges and clinical features of tuberculous peritonitis.
    • To compare the presentation and outcomes of tuberculous peritonitis in alcoholic versus non-alcoholic patients.
    • To identify factors contributing to diagnostic delays.

    Main Methods:

    • Retrospective review of 17 patients diagnosed with tuberculous peritonitis between 1971 and 1976.
    • Diagnosis confirmed by Mycobacterium tuberculosis culture or caseating granulomas on peritoneal biopsy.

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  • Comparison of clinical symptoms, diagnostic timelines, and hospitalization duration between alcoholic and non-alcoholic groups.

    • Main Results:

    • Tuberculous peritonitis predominantly affected women (15/17), with a significant number of North American Indians (11/17) and alcoholics (8/17).
    • Alcoholic patients experienced diagnostic delays (mean 49 days vs. 8.3 days) due to misinterpretation of ascites and fever.
    • Alcoholics had longer hospitalizations (mean 160.3 days vs. 41.5 days) and higher mortality (2/8).

    Conclusions:

    • Alcoholism is associated with delayed diagnosis and poorer outcomes in tuberculous peritonitis.
    • Attributing symptoms like ascites and fever to alcoholism-related conditions can hinder timely diagnosis.
    • Increased awareness and diagnostic vigilance are necessary for tuberculous peritonitis, particularly in patients with alcoholism.