Author(s): Khan FY, AlMuzrakchi AM, Elbedawi MM, AlMuzrakchi AA, Al Tabeb A
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Abstract There is limited information about peritoneal tuberculosis in Qatar. This retrospective study aimed to review our experience with peritoneal tuberculosis in patients admitted to Hamad general hospital over a period of 5 years, from 2005 to 2009, with emphasis on presentation, investigation, diagnosis and therapeutic outcome. Fifty-four patients with peritoneal tuberculosis identified during the study period were included. The mean age of them was 31.85 years and 96.3\% (52/54) of them were non-Qataris with male predominance. The main symptoms and signs at the time of presentation were abdominal pain and ascites respectively. Underlying diseases were described in 24\% (13/54) and history of contact with tuberculous cases was present in 31.5\% (17/54) of patients. Tuberculin test was positive in 66.7\% (36/54). The ascitic fluid smear showed acid fast bacilli in 2\% (1/53), and culture was positive in 39.6\% (21/53) of cases. Laparoscopically obtained peritoneal biopsy showed caseating granulomas in 93\% (40/43) and mycobacteria were identified by acid fast staining and culture in 58.5\% (24/41) and 98\% (40/41) of the tested specimens respectively. Most of the patients (84\%; 37/44) who had completed their therapy in Qatar improved with antituberculosis therapy, and only one patient died. In conclusion, the clinical features and the imaging findings of the disease were non-specific. A high index of suspicion is essential for early diagnosis. Culture of ascitic fluid delayed the diagnosis in clinically suspected cases, whereas laparoscopically guided peritoneal biopsy provided rapid and correct diagnosis. A Six-month course with antituberculous therapy was effective and improved the outcome. Copyright Â© 2011 Elsevier Ltd. All rights reserved.
This article was published in Travel Med Infect Dis
and referenced in Journal of Cytology & Histology