Ramanathan M, Abdullah A D, Sivadas T
Department of Medicine, Taiping Hospital, Perak.
Med J Malaysia. 1998 Dec;53(4):432-4.
This report deals with a young man having prolonged fever presenting with hypercalcaemic crisis. Subsequent investigations confirmed tuberculosis (TB) peritonitis in the absence of pulmonary involvement as the cause of his symptoms. His hypercalcaemia and fever resolved with anti-TB therapy. Abdominal TB needs to be included in the differential diagnosis of otherwise unexplained hypercalcaemia especially in our region where TB is an endemic problem and is treatable.
本报告涉及一名长期发热并出现高钙血症危象的年轻男性。后续检查证实，其症状的病因是无肺部受累的结核性腹膜炎。抗结核治疗后，他的高钙血症和发热症状得到缓解。腹部结核需要纳入不明原因高钙血症的鉴别诊断中，尤其是在我们这个结核病为地方病且可治疗的地区。
