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Tuberculous Peritonitis

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81. Diagnosis of Tuberculosis in Adults and Children: Official ATS/IDSA/CDC Clinical Practice Guidelines

studies estimated that the sensitivity and specificity of an elevated ADA level in pericardial fluid are 88% and 83%, respectively [203]. The threshold to define an ele- vated ADA level was 40 U/L. Finally, a meta-analysis of 4 studies estimated that the sensitivity and specificity of an elevated ADA level in peritoneal fluid are 100% and 97%, respectively [204]. The threshold used to define an elevated ADA level ranged from 36 U/L to 40 U/L. The test characteristics of free IFN-? levels have not been (...) as extensively studied. A meta-analysis of 6 studies estimated that the sensitivity and specificity of an elevated free IFN-? level in peritoneal fluid are 93% and 99%, respectively [205]. The threshold used to define an elevated IFN-? level ranged from 0.35 U/L to 9 U/L or 20 pg/mL to 112 pg/mL. A meta-analy- sis of 22 studies estimated that the sensitivity and specificity of an elevated free IFN-? level in pleural fluid are 89% and 97%, respectively [206]. The threshold used to define an elevated IFN

2017 American Thoracic Society

84. Clinical Practice Guidelines on Prevention, Diagnosis and Management of Tuberculosis

and ascitic fluids may be useful in tuberculous pleurisy and peritonitis*. ADA testing in sputum samples is not recommended for pulmonary tuberculosis†. *Grade A, Level 1++ †Grade D, Level 3 46 4. Tuberculosis laboratory diagnosis4 No. Recommendation Grade, Level of evidence CPG Page No. Initiation of treatment 18 Patients with chest radiographic findings that suggest active disease may be commenced on tuberculosis treatment even before bacteriological results are available. GPP 50 19 Tuberculosis (...) tuberculosis Note: Extrapulmonary tuberculosis is generally treated with the same regimen (6- or 9- month) as pulmonary tuberculosis. Please refer to additional recommendations below: Tuberculous meningitis 23 Tuberculous meningitis should be treated with the standard tuberculosis regimen but extended to 12 months. Steroids should be used as an adjunct. Grade B, Level 2+ 52 5. Treatment of tuberculosis5 No. Recommendation Grade, Level of evidence CPG Page No. Musculoskeletal tuberculosis 24 The preferred

2016 Ministry of Health, Singapore

85. Tropical Travel Trouble 009 Humongous HIV Extravaganza

, hepatosplenomegaly, peritonitis. Alternative explanations for the deterioration can not be excluded. Risk factors: Low CD4 count <50 High HIV viral load ARVs started early <2 months after treatment of TB Rapid reduction in viral count Rapid rise in CD4 count No treatment in most cases, no need to stop ARVs, continue TB treatment. Symptomatic treatment, consider steroids and drainage of any abscess. Q19. Your HIV patient has had diarrhoea for a month and can not swallow due to ordynophagia, what is your (...) and PI’s but okay with integrates and NRTIs. Mycobacterial: MTB complex and non-tuberculous mycobacteria. Fungal: cryptococcus, histoplasmosis, candidiasis, PCP. Parasitic: Liver flukes, cryptosporidium, micosporidium. Malignancy: Lymphoma and Kaposi sarcoma. Drugs: consider drug induced hepatitis if: AST/bili >5x ULN or 3.5x baseline. Coagulopathy, eosinophilia, rash and lactic acidosis. Consider TB IRIS if: Evidence of IRIS in another system. New tender hepatomegaly. Predominantely cholestatic. USS

2018 Life in the Fast Lane Blog

86. Ascitic Fluid Total Protein, a useful marker in non-portal hypertensive ascites. (PubMed)

in differential diagnosis of ascites. At the predetermined cut-off value of 25 g/L, quantitative AFTP assay was more useful in the differentiation of non-portal hypertensive ascites from portal hypertensive ascites compared with the exudate-transudate classification, area under curve of receiver operating characteristic curve was 0.958. Quantitative AFTP assay was superior to serum-ascites albumin gradient in the detection of non-portal hypertensive ascites, especially malignant ascites and tuberculous (...) peritonitis. In mixed ascites, AFTP was useful in identifying peritoneal lesions.Ascitic fluid total protein is a useful marker in non-portal hypertensive ascites; thus, it should be determined in diagnostic work-up of the patients with ascites.© 2019 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

2019 Journal of gastroenterology and hepatology

89. Guidance for national tuberculosis programmes on the management of tuberculosis in children

radiograph and lumbar puncture (to test for meningitis) Tuberculous meningitis Lumbar puncture (and imaging where available) Pleural effusion (older children and adolescents) Chest radiograph, pleural tap for biochemical analysis (protein and glucose concentrations), cell count and culture Abdominal TB (e.g. peritoneal) Abdominal ultrasound (3) and ascitic tap Osteoarticular Radiograph of joint/bone, joint tap or synovial biopsy Pericardial TB Ultrasound and pericardial tap r eferences 1. Marais BJ et al (...) two years of age with tuberculosis: evidence for implementation of revised World Health Organiza- tion recommendations. Antimicrobial Agents and Chemotherapy, 2011, 55:5560- 5567. n Recommendation 9 (new) Children with suspected or confirmed pulmonary TB or tuberculous periph- eral lymphadenitis who live in settings with low HIV prevalence and/or low prevalence of isoniazid resistance 1 and children who are HIV-negative, can be treated with a three-drug regimen (HRZ) for 2 months followed by a two

2014 World Health Organisation Guidelines

90. Caractéristiques épidémio-cliniques de la tuberculose génitale chez la femme tunisienne: une série de 47 cas (Full text)

included in the study. The study focused on 47 cases. The average age of patients was 42.2 years. Eighteen women were from rural areas. Tuberculous contact was found in five cases. In all cases, the onset was insidious. Twenty-three patients showed one or several signs of TB infection. Tuberculin intradermal reaction (IDR) test was performed in 35 women (74.8%), it was positive in 26 cases (74%). Thirty-nine patients (83%) had undergone radiological examination using abdomino-pelvis ultrasound (...) and/or CT scan. Diagnostic coelioscopy was performed in 37 cases (75.5%). Anatomopathological examination helped to confirm the diagnosis of GT in 42 cases (89.3%), showing epithelioid and giant-cell granuloma. We identified 21 cases of isolated GT, the remaining 26 cases had peritoneal involvement. All patients received specific antibiotic therapy combining isoniazid, rifampicin, pyrazinamide and ethamubutol with an average treatment duration of 12 months. No patient received corticosteroids

2018 The Pan African medical journal PubMed

91. Bursite tuberculeuse de l’épaule chez une insuffisante rénale chronique: à propos d’un cas (Full text)

Bursite tuberculeuse de l’épaule chez une insuffisante rénale chronique: à propos d’un cas Tuberculosis of the shoulder is rare. It encompasses all articular and periarticular tuberculouses of the shoulder. Its insidious evolution, mimicking inflammatory and degenerative diseases, reflects the frequency of its diagnostic delay. We report a rare case of tuberculous bursitis of the shoulder in a woman living in rural areas, with renal insufficiency and treated for peritoneal TB and psoas (...) . The anamnesis revealed signs of tuberculous impregnation. Clinical examination showed painful swelling of the shoulder associated with stiffness. MRI of the shoulder objectified infectious bursal disease. Its tuberculous origin was confirmed by the histological examination of ultrasound-guided synovial biopsy. The patient underwent TB treatment with good outcome. At 9-year follow-up, the patient had satisfactory articular function with no recurrence of infectious disease.

2018 The Pan African medical journal PubMed

92. A Study on Diagnosis and Treatment of End Stage Liver Disease Complicated With Infection (SESLDIP Study)

years old ascites nucleated cell count> 250 × 106 / L; Unable to obtain ascites specimens or ascites nucleated cells count does not meet the conditions of 3) are required abdominal examination tenderness (+), rebound tenderness (+), abdominal ultrasound can detect ascites, and procalcitonin (PCT) > 0.5ng / ml, hs-CRP> 10ng / ml Exclusion Criteria: history of abdominal surgery within 4 weeks; secondary peritonitis; tuberculous peritonitis; Malignant tumor; patients who use hormones (...) Update Posted : September 13, 2018 Sponsor: Tongji Hospital Information provided by (Responsible Party): Qin Ning, Tongji Hospital Study Details Study Description Go to Brief Summary: Spontaneous bacterial peritonitis (SBP) is a common complication of end-stage liver disease due to various causes. The initial anti-infective medication is appropriate and the patient's survival rate is closely related. Ascitic fluid bacterial culture takes a long time, the positive rate is low, it is difficult to guide

2017 Clinical Trials

93. MKSAP: 68-year-old man with new-onset ascites

? A. Alcoholic cirrhosis B. Constrictive pericarditis C. Nonalcoholic cirrhosis D. Tuberculous peritonitis MKSAP Answer and Critique The correct answer is B. Constrictive pericarditis. The most likely diagnosis is constrictive pericarditis. This patient has undergone previous cardiac surgery, which is a risk factor for constrictive pericarditis. Ascitic fluid analysis should include measurement of albumin and total protein; cell count and bacterial cultures should be checked when infection is suspected (...) of this patient’s ascites. Tuberculous peritonitis is very uncommon and is associated with a SAAG less than 1.1 g/dL (11 g/L), an ascitic fluid total protein level greater than 3 g/dL (30 g/L), and a lymphocytic predominance in the cell count with differential. Although this patient has a high ascitic fluid total protein level, the SAAG is greater than 1.1 g/dL (11 g/L) and he does not have a predominance of lymphocytes on the ascitic fluid cell count. Key Point A serum-ascites albumin gradient (SAAG) of 1.1 g

2017 KevinMD blog

94. Ventriculo-ureteral shunt insertion using percutaneous nephrostomy: a novel minimally invasive option in a patient with chronic hydrocephalus complicated by multiple distal ventriculoperitoneal shunt failures. (PubMed)

Ventriculo-ureteral shunt insertion using percutaneous nephrostomy: a novel minimally invasive option in a patient with chronic hydrocephalus complicated by multiple distal ventriculoperitoneal shunt failures. The management of ventriculoperitoneal (VP) shunt failure is a common problem in neurosurgical practice. On occasion, extraperitoneal sites for CSF diversion are required when shunting to the peritoneal cavity has failed after multiple attempts. The authors report a novel minimally (...) invasive procedure allowing cannulation of the ureter for the purpose of ventriculo-ureteral (VU) shunting. Sixteen years prior to presentation, this 46-year-old woman had contracted tuberculous meningitis and had chronic hydrocephalus, with multiple distal shunt failures in recent months. A percutaneous nephrostomy was used to pass the distal catheter based on intraoperative retrograde pyelography. Following successful placement of the VU shunt, the patient's hydrocephalus stabilized and she returned

2017 Journal of Neurosurgery

95. Diagnosis of Ascites in Infants and Children

Criteria: age from 1month to 18 year infants and children with ascites (hepatic, cardiac, renal, malignant or tuberculous ) infants and children with peritonitis Exclusion Criteria: age <1month surgical conditions as ruptured viscous or located abscess Contacts and Locations Go to No Contacts or Locations Provided More Information Go to Layout table for additonal information Responsible Party: Asmaa abo bakr Ahmed, Doctor, Assiut University ClinicalTrials.gov Identifier: Other Study ID Numbers: Assuit (...) Party): Asmaa abo bakr Ahmed, Assiut University Study Details Study Description Go to Brief Summary: Ascites is the pathologic accumulation of fluid within the peritoneal cavity. Causes of ascites in infants and children :hepatobiliary disorders,serositis, neoplasm, cardiac, genitourinary disorder, metabolic disease and others. Diagnosis of ascites :history of abdominal distention, increasing weight, respiratory embarrassement, symptoms and signs of (hepatic ,cardiac,renal disease, tuberculosis

2017 Clinical Trials

96. Tubercular abdominal cocoon in children – a single centre study in remote area of northern India (Full text)

Tubercular abdominal cocoon in children – a single centre study in remote area of northern India Amongst the numerous causes of intestinal obstruction listed in the literature, sclerosing encapsulating peritonitis also called Abdominal Cocoon (AC) is one of the rarest entities. Its characteristic feature is a thick fibrotic membrane encasing varying lengths of the small and large gut in a cocoon. In India, there is an increasing incidence of tuberculosis, especially in the rural areas.The aim (...) of this study was to investigate the clinical presentation and evaluate the operative findings of tuberculous AC. We also evaluated the outcomes and response to anti tuberculous treatment (ATT) in all the patients diagnosed with this condition.This study was carried out at M.M. Institute of Medical Sciences and Research, Mullana, Ambala, India between April 2013 - March 2016 in the Department of Pediatric Surgery. This is a prospective study. A total of 17 patients diagnosed with abdominal cocoon secondary

2017 Clujul Medical PubMed

97. The primary fallopian tube carcinoma: a rare association with pelvic nodal tuberculosis (Full text)

IM Adenocarcinoma diagnosis pathology Adult Fallopian Tube Neoplasms diagnosis pathology Female Humans Peritonitis, Tuberculous diagnosis pathology 2011 08 27 2012 06 25 2018 3 16 6 0 2018 3 16 6 0 2018 8 3 6 0 epublish 29541309 10.11604/pamj.2017.28.163.1119 PAMJ-28-163 PMC5847045 Gynecol Obstet Invest. 1999;47(1):45-51 10026026 Gynecol Oncol. 2001 Jan;80(1):16-20 11136563 J Med Assoc Ga. 1992 Feb;81(2):77-81 1556508 Gynecol Oncol. 2007 Dec;107(3):392-7 17961642 Gynecol Oncol. 1986 Jun;24(2):230

2017 The Pan African medical journal PubMed

98. Ascites due to cirrhosis, management

, or nonrandomized studies. Level C Only consensus opinion of experts, case studies, or standard-of-care. Table 2. Differential Diagnosis of Ascites Cirrhosis Alcoholic Hepatitis Heart Failure Cancer (peritoneal carcinomatosis, massive liver metastases, etc) ‘‘Mixed’’ Ascites, i. e. Cirrhosis Plus Another Cause for Ascites Pancreatitis Nephrotic Syndrome Tuberculous Peritonitis Acute Liver Failure Budd-Chiari Syndrome Sinusoidal Obstruction Syndrome Postoperative Lymphatic Leak Myxedema 2 RUNYON HEPATOLOGY (...) ; the sensitivity of ?uid culture for mycobacteria is approxi- mately 50%. 44 Only patients at high risk for tubercu- lous peritonitis (e.g., recent immigration from an endemic area or acquired immunode?ciency syn- drome) 45 should have testing for mycobacteria on the ?rst ascitic ?uid specimen. Polymerase chain reaction testing for mycobacteria or laparoscopy with biopsy and mycobacterial culture of tubercles are the most rapid and accurate methods of diagnosing tuberculous peritonitis. Multiple prospective

2013 American Association for the Study of Liver Diseases

99. Tuberculose péritonéale: aspect laparoscopique de pelvis gelé (Full text)

, Tunisie. fre Case Reports Journal Article Tuberculose péritonéale: aspect laparoscopique de pelvis gelé. 2016 10 17 Uganda Pan Afr Med J 101517926 0 Antibiotics, Antitubercular 0 Antitubercular Agents IM Abdomen diagnostic imaging Adult Antibiotics, Antitubercular therapeutic use Antitubercular Agents therapeutic use Ascites Diagnosis, Differential Female Humans Laparoscopy Mycobacterium tuberculosis isolation & purification Peritonitis, Tuberculous diagnosis drug therapy pathology Ultrasonography (...) Tuberculose péritonéale: aspect laparoscopique de pelvis gelé 28292044 2018 02 15 2018 02 15 1937-8688 25 2016 The Pan African medical journal Pan Afr Med J [Peritoneal tuberculosis]. 81 10.11604/pamj.2016.25.81.10037 Kehila Mehdi M Service C de Gynécologie Obstétrique, Centre de Maternité et de Néonatologie de Tunis, Université Tunis El Manar, Tunisie. Chanoufi Mohamed Badis MB Service C de Gynécologie Obstétrique, Centre de Maternité et de Néonatologie de Tunis, Université Tunis El Manar

2016 The Pan African medical journal PubMed

100. Ventriculo-ureteral shunt insertion using percutaneous nephrostomy: a novel minimally invasive option in a patient with chronic hydrocephalus complicated by multiple distal ventriculoperitoneal shunt failures. (Full text)

Ventriculo-ureteral shunt insertion using percutaneous nephrostomy: a novel minimally invasive option in a patient with chronic hydrocephalus complicated by multiple distal ventriculoperitoneal shunt failures. The management of ventriculoperitoneal (VP) shunt failure is a common problem in neurosurgical practice. On occasion, extraperitoneal sites for CSF diversion are required when shunting to the peritoneal cavity has failed after multiple attempts. The authors report a novel minimally (...) invasive procedure allowing cannulation of the ureter for the purpose of ventriculo-ureteral (VU) shunting. Sixteen years prior to presentation, this 46-year-old woman had contracted tuberculous meningitis and had chronic hydrocephalus, with multiple distal shunt failures in recent months. A percutaneous nephrostomy was used to pass the distal catheter based on intraoperative retrograde pyelography. Following successful placement of the VU shunt, the patient's hydrocephalus stabilized and she returned

2016 Journal of Neurosurgery PubMed

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