GI

Tuberculous Peritonitis

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Tuberculous Peritonitis, Peritonitis due to Mycobacterium tuberculosis

  • Risk Factors
  1. HIV Infection
  2. Cirrhosis
  3. Ambulatory Peritoneal Dialysis
  • Pathophysiology
  1. Results from peritoneal Tuberculosis reactivation
  • Symptoms
  1. Abdominal Pain
  2. Fever
  • Signs
  1. Ascites
  • Laboratory
  • Peritoneal fluid
  1. Exudative: Serum to Ascites albumin <1.1 g/dl
  2. White Blood Cells >150/mm3 with Lymphocyte predominance
  3. Send fluid for AFB smear and culture
    1. One liter is preferred to increase Test Sensitivity
  4. Measures with highest sensitivity and Specificity
    1. Adenosine deaminase >33 U/L
    2. Peritoneal biopsy
  • Management
  1. See Extrapulmonary Tuberculosis