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Tuberculous Peritonitis

 Syn. peritoneal tuberculosis , TB peritonitis

Signs & Symptoms

 Abdominal pain
Ref: Uptodate [ Tuberculous peritonitis] Harrison [ 1245] Cecil [ 898]
Lymphocytic ascites
Ref: Uptodate [ Tuberculous peritonitis] Cecil [ 898]
Last several weeks
Ref: Uptodate [ Tuberculous peritonitis]
Abdominal wall rigidity
Note: due to activation of primary afferent visceral and cutaneous pain receptors
Ref: Uptodate [ Diagnostic approach to abdominal pain in adults] Uptodate [ Differential diagnosis of abdominal pain in adults] Uptodate [ Gastric volvulus in adults]

Physical Examination

 Strict immobility
Note: Peritonitis often causes patients to lie motionless on their backs
Ref: Uptodate [ History and physical examination in adults with abdominal pain]
Fever
Ref: Uptodate [ Tuberculous peritonitis] Harrison [ 1245] Cecil [ 898]
Abdominal wall rigidity
Note: due to activation of primary afferent visceral and cutaneous pain receptors
Ref: Uptodate [ Diagnostic approach to abdominal pain in adults] Uptodate [ Differential diagnosis of abdominal pain in adults] Uptodate [ Gastric volvulus in adults]

Lab / Serology

 Mild normochromic normocytic anemia
Note: mean hemoglobin concentration 9.9 g/dL
Ref: Uptodate [ Tuberculous peritonitis]
Positive purified protein derivative
Ref: Uptodate [ Tuberculous peritonitis]
Relative lymphocytic pleocytosis
Ref: Uptodate [ Tuberculous peritonitis]

Imagin Study

 Ascites
Ref: Uptodate [ Tuberculous peritonitis] Harrison [ 1245] Cecil [ 898]
Radiographic finding Evidence of old tuberculosis
Ref: Uptodate [ Tuberculous peritonitis]

Complication

Risk Factors

 Use of systemic corticosteroids
Ref: Unknown [ 0]
Diabetic
Ref: Unknown [ 0]
HIV infection
Ref: Unknown [ 0]

Cause

Other