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[结核性腹膜炎。2例报告]

[Tuberculous peritonitis. Report of 2 cases].

作者信息

Lado Lado F L, Cabana González B, Ferreiro Regueiro M J, Cabarcos Ortiz de Barrón A, Donado Budiño E

机构信息

Servicio de Medicina Interna, Departamento de Medicina, Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, A Coruña.

出版信息

An Med Interna. 2002 Jun;19(6):296-8.

Abstract

They are revised the clinical and diagnostic manifestations of tuberculous peritonitis. For this, it is provided our experience in three cases: 2 women and 1 man with ages between 49 and 79 years old. The more frequent clinical manifestations were general syndrome and ascites in all the cases (100%) and fever in 2 (66%). The mantoux was positive in two cases. The peritoneal fluid presented lymphocytic exudate and determination of adenosine deaminase increased in all the cases. The diagnosis was performed through laparoscopy with peritoneal biopsy with presence of necrotic granulomas. Only in 1 case,is identified growth of Mycobacterium tuberculosis in peritoneal fluid. All the patients answered positively to the specific treatment.

摘要

他们对结核性腹膜炎的临床和诊断表现进行了修订。为此,我们提供了3例病例的经验:2名女性和1名男性,年龄在49至79岁之间。所有病例中最常见的临床表现是全身综合征和腹水(100%),2例(66%)有发热。2例结核菌素试验呈阳性。所有病例的腹腔积液均为淋巴细胞渗出液,腺苷脱氨酶测定值升高。通过腹腔镜检查及腹膜活检发现坏死性肉芽肿进行诊断。仅1例在腹腔积液中发现结核分枝杆菌生长。所有患者对特异性治疗反应良好。

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