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- W2145007510 abstract "Tuberculosis (TB), one of the most common infectious diseases worldwide, is characterized by the formation of tubercles or tuberculous granulation and caseous necrosis in tissues. Lungs are the primary site of TB infection and from there the infection spreads to other organs including the kidneys, spine, genitals, and only rarely the peritoneum. With the global resurgence of tuberculous peritonitis (TBP), it has become a significant health concern not only in endemic areas, but also in the United States and Western Europe. Recently, evidence has accumulated that there has been an increased incidence of extrapulmonary TB. TBP occurs in up to 5% of patients with pulmonary TB and comprises 25-60% of cases of abdominal TB (1). TBP is a subacute disease and has protean symptoms evolve over a period of several weeks to months. The disease can present in three different forms which are: the wet-ascitic, fibrotic-fixed and the dry-plastic form. They have overlapping symptoms except for abdominal distension which does not occur in the dry-plastic form. Ascites is the predominant finding and present in about 73% of the patients (2). Low-grade fever that often accompany a night sweat occurs in about 59% of the cases. Weight loss is seen in about 61% of cases and reversibility of this manifestation has been reported as a sign of disease recovery (3). Abdominal tenderness on palpation is common in TBP and occurs in almost 48% of the patients. Abdominal pain is one of the most common presenting sign and usually accompanied by abdominal distension. As its etiology is thought to be related to the tuberculous inflammation of the peritonemum and mesentery or to the obstruction of the bowel, the pain is widespread and non-localized (4). An enlarged liver or splenomegaly is uncommon, and presence of hepatomegaly and splenomegaly suggests a direct tuberculous involvement of the liver and presence of portal hypertension, respectively (3,5). TBP should be considered in all patients presenting with unexplained lymphocytic ascites with a serum-as" @default.
- W2145007510 created "2016-06-24" @default.
- W2145007510 creator A5035312512 @default.
- W2145007510 date "2019-08-07" @default.
- W2145007510 modified "2023-09-27" @default.
- W2145007510 title "Understanding tuberculous peritonitis: A difficult task to overcome" @default.
- W2145007510 cites W1279021459 @default.
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- W2145007510 doi "https://doi.org/10.5152/tjg.2014.0002" @default.
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