Measurement of Adenosine Deaminase in Ascitic Fluid Contributed to the Diagnosis in a Case of Tuberculous Peritonitis.

作者信息

Kishimoto Kenichi, Mishiro Tsuyoshi, Mikami Hironobu, Yamashita Noritsugu, Hara Kazushi, Hamamoto Wataru, Cho Yuumi, Ikuta Yukihiro, Nagasaki Makoto, Kinoshita Yoshikazu

机构信息

Department of Gastroenterology and Hepatology, National Hospital Organization, Hamada Medical Center, Hamada, Japan.

Department of Internal Medicine II, Faculty of Medicine, Shimane University, Izumo, Japan.

出版信息

Case Rep Gastroenterol. 2019 Jul 10;13(2):299-304. doi: 10.1159/000501066. eCollection 2019 May-Aug.

DOI:10.1159/000501066

PMID:31427912

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6696765/

Abstract

A diagnosis of tuberculous peritonitis (TBP) is difficult because of nonspecific manifestation and limited effectiveness of conventional diagnostic tools. Recently, the usability of measurement of ascitic adenosine deaminase (ADA) was shown. We report here a case of TBP in which measurement of ascitic ADA contributed to the diagnosis. A 93-year-old male developed a large amount of ascites. Analyses of the ascitic fluid revealed exudation, though antibiotics treatment was ineffective. Using paracentesis, the ADA level in the ascites was measured and shown to be high. Under suspicion of TBP, an exploratory laparoscopy was performed and a definitive diagnosis of TBP was made.

摘要