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Clinical features and diagnostic approaches for abdominal tuberculosis: five-year experience from a non-tuberculosis-designated hospital in China.
- Source :
-
Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva [Rev Esp Enferm Dig] 2022 Aug; Vol. 114 (8), pp. 461-467. - Publication Year :
- 2022
-
Abstract
- Background and Purpose: abdominal tuberculosis (TB) is a common form of extrapulmonary TB but it is still a diagnostic dilemma in clinical practice. This study aimed to highlight the clinical features and diagnostic approaches for abdominal TB.<br />Methods: seventy cases of diagnosed abdominal TB were retrospectively collected between August 1st, 2015 and June 30th, 2020. They were classified as peritoneal TB, lymph node TB, gastrointestinal TB, visceral TB or mixed TB.<br />Results: eighteen patients were diagnosed with peritoneal TB, nine with lymph node TB, five with gastrointestinal TB, two with visceral TB and 36 with mixed TB. More than 65 % of the patients had tuberculosis of other sites except the abdomen. The median diagnosis time was 60 days. Ascites (58.6 %), abdominal distension (48.6 %), weight loss (44.3 %) and fever (42.9 %) were the most common symptoms. The overall microbiological and histological detection rates were 70.0 % and 38.6 %, respectively. The non-ascite samples yielded a higher microbiological confirmation rate (63.6 %) than the total samples (40.8 %). Diagnosis was confirmed histologically in 18 patients (69.2 %). Forty-five cases (64.3 %) were clinically diagnosed. Invasive procedures such as surgery (6/7), percutaneous biopsy (7/7) and endoscopy in lymph node TB (4/5) had high confirmation rates.<br />Conclusions: the diagnosis of abdominal TB should be reached by a combination of clinical, laboratory, radiological, microbiological and pathological findings.
- Subjects :
- Abdomen diagnostic imaging
Ascites diagnosis
Ascites epidemiology
Ascites pathology
Ascites surgery
China epidemiology
Hospitals
Humans
Peritonitis, Tuberculous diagnosis
Peritonitis, Tuberculous pathology
Peritonitis, Tuberculous surgery
Retrospective Studies
Time Factors
Tuberculosis, Gastrointestinal diagnosis
Tuberculosis, Gastrointestinal pathology
Tuberculosis, Gastrointestinal surgery
Tuberculosis, Lymph Node diagnosis
Tuberculosis, Lymph Node pathology
Peritonitis, Tuberculous epidemiology
Tuberculosis, Gastrointestinal epidemiology
Tuberculosis, Lymph Node epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1130-0108
- Volume :
- 114
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva
- Publication Type :
- Academic Journal
- Accession number :
- 34886676
- Full Text :
- https://doi.org/10.17235/reed.2021.8022/2021