Analysis of cases with tuberculous peritonitis: A single-center experience

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dc.authorid0000-0002-5594-782X
dc.authorscopusid36476941100
dc.authorscopusid42861696800
dc.authorscopusid36608599700
dc.authorscopusid6603445211
dc.authorscopusid55062286400
dc.authorscopusid55912165100
dc.authorwosidTÜRKDOĞAN, MEHMED KÜRŞAD/ABG-4331-2020
dc.contributor.authorDülger, A. Cumhur
dc.contributor.authorKaradaş, Sevdegül
dc.contributor.authorMete, Rafet
dc.contributor.authorTurkdogan, M. Kursat
dc.contributor.authorDemirkiran, Davut
dc.contributor.authorGultepe, Bilge
dc.date.accessioned2022-05-11T14:39:52Z
dc.date.available2022-05-11T14:39:52Z
dc.date.issued2014
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground/Aims: Tuberculous peritonitis (TP) is a rare form of tuberculosis and is caused by peritoneal involvement with Mycobacterium tuberculosis. A distinctive correlation exists between socioeconomic state and disease prevalence. We aimed to evaluate the clinical, laboratory, and radiological findings of patients with TP. Materials and Methods: We conducted a retrospective study in patients with peritoneal tuberculosis from January 2004 to October 2008 at Yuzuncu Yil University Medical School Education and Research Hospital. During this time, the data of 21 patients (17 females) with TP were reviewed. Results: Fever, abdominal pain, and anorexia were the most common symptoms. An analysis of ascites showed lymphocyte predominance and low albumin gradient in all patients. Patients with TP had a median ascites adenosine deaminase (ADA) level of 139 U/L (range, 25 to 303U/L). Peritoneal involvement (wet peritonitis) was seen in all the cases. Following 6-month administration of combined anti-TBC treatment, mean serum CA-125 levels were within the normal range among patients who had previously higher serum CA-125 level. Mortality rate in the total cases was 4.6%. Conclusion: Peritoneal tuberculosis should be considered in the differential diagnosis of exudative ascites in eastern Turkey. A high level of suspicion is required, especially in high-risk populations living in rural areas. ADA seems to be a sufficient, safe, and inexpensive method to perform the diagnosis of peritoneal tuberculosis. Serum CA-125 levels may play a key role to support the diagnosis as well as disease management of TP.
dc.identifier.doi10.5152/tjg.2014.5145
dc.identifier.endpage78
dc.identifier.issn2148-5607
dc.identifier.issue1en_US
dc.identifier.pmid24918135
dc.identifier.scopus2-s2.0-84902602764
dc.identifier.scopusqualityQ3
dc.identifier.startpage72
dc.identifier.urihttps://doi.org/10.5152/tjg.2014.5145
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8768
dc.identifier.volume25
dc.identifier.wosWOS:000338051700013
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorMete, Rafet
dc.language.isoen
dc.publisherAves
dc.relation.ispartofTurkish Journal of Gastroenterology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectTuberculous peritonitis
dc.subjectadenosine deaminase
dc.subjecteastern Turkey
dc.subjectserum CA-125
dc.subjectAbdominal Tuberculosis
dc.subjectPresenting Features
dc.subjectDiagnosis
dc.subjectAscites
dc.subjectCa-125
dc.subjectSerum
dc.titleAnalysis of cases with tuberculous peritonitis: A single-center experience
dc.typeArticle

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