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Colegio de Medicina Interna de México.

2021, Number 6

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Med Int Mex 2021; 37 (6)

Peritoneal tuberculosis in an immunocompetent patient

López CD, Ramírez MV, Cajiao-Correa G, Vargas-Rodríguez L

Language: Spanish
References: 16
Page: 1108-1113
PDF size: 343.95 Kb.


ABSTRACT

Background: Tuberculosis is one of the most important communicable diseases in the world.
Clinical case: A 22-year-old male patient who consulted for a 6-month period of moderate intensity abdominal pain associated with emetic episodes, weight loss, anorexia, asthenia and adynamia. At the physical examination patient had generalized pallor, poor nutritional status, 3 cm ganglion in the left supraclavicular region, tense, painful and palpable abdomen in the epigastrium, flank and right iliac fossa, in addition to the palpable mass in the mesogastrium. The tomography showed abdominal conglomeration, and the biopsy confirmed the presence of resistant alcoholic acid bacilli, thus initiating the management of peritoneal tuberculosis with tetraconjugate.
Conclusions: Only 18% of patients with tuberculosis have extrapulmonary forms. The condition of the peritoneum occurs in only 1 to 3% of cases. There are multiple risk factors that can be associated with the development of this entity, mainly that facilitate immunodeficiency.


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