Difficulty in diagnosing peritonitis caused by multidrug‐resistant tuberculosis

Key Clinical Message The low sensitivity of ascites culture for acid‐fast bacilli necessitates a peritoneal biopsy when tuberculous peritonitis is suspected. Findings in the peritoneum on computed tomography may prompt suspicion of tuberculous peritonitis. Abstract A 47‐year‐old Nigerian man present...

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Main Authors: Sayaka Aoyama, Shun Yamashita, Kosuke Ishizuka, Shinichi Katsukura, Hiroki Matsuura, Mikiro Kato
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7759
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author Sayaka Aoyama
Shun Yamashita
Kosuke Ishizuka
Shinichi Katsukura
Hiroki Matsuura
Mikiro Kato
author_facet Sayaka Aoyama
Shun Yamashita
Kosuke Ishizuka
Shinichi Katsukura
Hiroki Matsuura
Mikiro Kato
author_sort Sayaka Aoyama
collection DOAJ
description Key Clinical Message The low sensitivity of ascites culture for acid‐fast bacilli necessitates a peritoneal biopsy when tuberculous peritonitis is suspected. Findings in the peritoneum on computed tomography may prompt suspicion of tuberculous peritonitis. Abstract A 47‐year‐old Nigerian man presented with fever, abdominal distention, and weight loss. Abdominal computed tomography revealed massive ascites and peritoneal thickening. Despite failing to culture acid‐fast bacilli from ascites, histological examination and culture of peritoneum revealed multidrug‐resistant tuberculosis peritonitis. Peritoneal biopsy is mandatory when tuberculosis peritonitis is suspected.
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spelling doaj.art-7bc6a2553270422281f9645430ff20d62023-10-20T06:16:21ZengWileyClinical Case Reports2050-09042023-09-01119n/an/a10.1002/ccr3.7759Difficulty in diagnosing peritonitis caused by multidrug‐resistant tuberculosisSayaka Aoyama0Shun Yamashita1Kosuke Ishizuka2Shinichi Katsukura3Hiroki Matsuura4Mikiro Kato5Department of Internal Medicine, Mito Kyodo General Hospital University of Tsukuba Ibaraki JapanDepartment of General Medicine Saga University Hospital Saga JapanDepartment of General Medicine Chiba University Hospital Chiba JapanDepartment of Diagnostic and Generalist Medicine Dokkyo Medical University Hospital Tochigi JapanDepartment of General Internal Medicine Okayama City Hospital Okayama JapanDepartment of Infectious Diseases University of Tsukuba Ibaraki JapanKey Clinical Message The low sensitivity of ascites culture for acid‐fast bacilli necessitates a peritoneal biopsy when tuberculous peritonitis is suspected. Findings in the peritoneum on computed tomography may prompt suspicion of tuberculous peritonitis. Abstract A 47‐year‐old Nigerian man presented with fever, abdominal distention, and weight loss. Abdominal computed tomography revealed massive ascites and peritoneal thickening. Despite failing to culture acid‐fast bacilli from ascites, histological examination and culture of peritoneum revealed multidrug‐resistant tuberculosis peritonitis. Peritoneal biopsy is mandatory when tuberculosis peritonitis is suspected.https://doi.org/10.1002/ccr3.7759abdominal contrast‐enhanced computed tomographymultidrug‐resistant tuberculosisperitoneal biopsyperitonitis
spellingShingle Sayaka Aoyama
Shun Yamashita
Kosuke Ishizuka
Shinichi Katsukura
Hiroki Matsuura
Mikiro Kato
Difficulty in diagnosing peritonitis caused by multidrug‐resistant tuberculosis
Clinical Case Reports
abdominal contrast‐enhanced computed tomography
multidrug‐resistant tuberculosis
peritoneal biopsy
peritonitis
title Difficulty in diagnosing peritonitis caused by multidrug‐resistant tuberculosis
title_full Difficulty in diagnosing peritonitis caused by multidrug‐resistant tuberculosis
title_fullStr Difficulty in diagnosing peritonitis caused by multidrug‐resistant tuberculosis
title_full_unstemmed Difficulty in diagnosing peritonitis caused by multidrug‐resistant tuberculosis
title_short Difficulty in diagnosing peritonitis caused by multidrug‐resistant tuberculosis
title_sort difficulty in diagnosing peritonitis caused by multidrug resistant tuberculosis
topic abdominal contrast‐enhanced computed tomography
multidrug‐resistant tuberculosis
peritoneal biopsy
peritonitis
url https://doi.org/10.1002/ccr3.7759
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AT shunyamashita difficultyindiagnosingperitonitiscausedbymultidrugresistanttuberculosis
AT kosukeishizuka difficultyindiagnosingperitonitiscausedbymultidrugresistanttuberculosis
AT shinichikatsukura difficultyindiagnosingperitonitiscausedbymultidrugresistanttuberculosis
AT hirokimatsuura difficultyindiagnosingperitonitiscausedbymultidrugresistanttuberculosis
AT mikirokato difficultyindiagnosingperitonitiscausedbymultidrugresistanttuberculosis