Tuberculous peritonitis: experience in a community hospital

  • Leonardo Gomes da Fonseca Faculdade de Medicina – Universidade de São Paulo, São Paulo/SP, Brasil.
  • Fernando Peixoto Ferraz de Campos Hospital Universitário - Universidade de São Paulo, São Paulo/SP, Brasil.
  • Aloísio Felipe-Silva Hospital Universitário - Universidade de São Paulo, São Paulo/SP, Brasil.
Keywords: Tuberculosis, Peritonitis, Adenosine deaminase, Serositis.

Abstract

Peritoneal tuberculosis presents high morbi-mortality rates and its prognosis depends on early diagnosis. Symptoms mimic other abdominal diseases, what makes diagnosis difficult. We report clinical and pathological data from 10 tuberculous peritonitis patients admitted to Hospital Hospital Universitário da Universidade de São Paulo between 2003 and 2010. Abdominal pain, fever and weight loss were the most frequent
symptoms and ascites was observed in half of cases. The serum-ascites albumin gradient determination and adenosine deaminase activity helped to make the diagnosis.
Culture growth of Mycobacterium tuberculosis showed low sensitivity. The finding of chronic granulomatous serositis and positive stain for acid fast bacilli in biopsy specimens
obtained from laparotomy and laparoscopy were determinant for diagnosis.

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Author Biographies

Leonardo Gomes da Fonseca, Faculdade de Medicina – Universidade de São Paulo, São Paulo/SP, Brasil.
Hospital das Clínicas da Faculdade de Medicina – Universidade de São Paulo, São Paulo/SP, Brasil.
Fernando Peixoto Ferraz de Campos, Hospital Universitário - Universidade de São Paulo, São Paulo/SP, Brasil.
Divisão de Clínica Médica do Hospital Universitário - Universidade de São Paulo, São Paulo/SP, Brasil.
Aloísio Felipe-Silva, Hospital Universitário - Universidade de São Paulo, São Paulo/SP, Brasil.
Serviço de Anatomia Patológica do Hospital Universitário - Universidade de São Paulo, São Paulo/SP, Brasil.
Published
2011-06-08
How to Cite
da Fonseca, L., de Campos, F., & Felipe-Silva, A. (2011). Tuberculous peritonitis: experience in a community hospital. Autopsy and Case Reports, 1(2). https://doi.org/10.4322/acr.2016.002
Section
Article