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Tuberculous peritonitis--a case report

M Duvnjak1, L Smircić-Duvnjak, V N Simicević

  • 1Department of Gastroenterology, Sestre Milosrdnice University Hospital, Zagreb, Croatia.

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|May 26, 1998
PubMed
Summary

Tuberculosis is a global health issue with varied symptoms, often delaying diagnosis. This case highlights tuberculous peritonitis mimicking intra-abdominal cancer, successfully treated with therapy.

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Area of Science:

  • Internal Medicine
  • Infectious Diseases
  • Gastroenterology

Background:

  • Tuberculosis (TB) remains a significant global health challenge.
  • The systemic nature of TB can lead to diverse and variable clinical presentations.
  • Delayed diagnosis of TB can negatively impact patient outcomes.

Observation:

  • A 67-year-old male refugee presented with symptoms suggestive of intra-abdominal carcinomatosis.
  • Initial diagnosis was intra-abdominal malignancy.
  • Further investigation revealed tuberculous peritonitis as the underlying cause.

Findings:

  • Tuberculous peritonitis was identified as the cause of the patient's intra-abdominal symptoms.
  • The patient received standard antituberculosis therapy.

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  • Complete clinical remission was achieved following treatment.

    • Implications:

    • This case underscores the polymorphous nature of tuberculosis.
    • Clinicians should consider tuberculosis in the differential diagnosis of intra-abdominal conditions, especially in at-risk populations.
    • Early and accurate diagnosis of TB is crucial for effective management and improved patient prognosis.