UO Medicina Interna, Ospedale San Giovanni di Dio, Florence.
UO Radiologia, Ospedale San Giovanni di Dio, Florence.
Clin Ter. 2021 Jan-Feb;171(1):e1-e3. doi: 10.7417/CT.2021.2272.
Tuberculous peritonitis is an uncommon disease in countries with low tuberculosis (TB) incidence, most often affecting non-white race, foreign-born individuals. We describe a case of TB with peritoneal involvement in a 32-year-old man immigrated to Italy from Burkina Faso, who presented with a history of fever, malaise, abdominal pain and abdominal swelling. Due to its nonspecific clinical presentation and paucibacillary nature, diagnosis of tuberculous peritonitis can be challenging, and requires a high index of suspicion. This report highlights the diagnostic challenges posed by tuberculous peritonitis and emphasizes the importance of imaging (computed tomography, CT) in identifying typical findings, and the value of histological examination of tissue specimens from peritoneum or any site of suspected TB as a tool for diagnosis confirmation.
结核性腹膜炎是低结核发病率国家的一种罕见疾病，最常影响非白种人、外国出生的个体。我们描述了一例来自布基纳法索移民到意大利的 32 岁男性的结核病例，他有发热、不适、腹痛和腹部肿胀的病史。由于其非特异性临床表现和菌量少，结核性腹膜炎的诊断具有挑战性，需要高度怀疑。本报告强调了结核性腹膜炎带来的诊断挑战，并强调了影像学（计算机断层扫描，CT）在识别典型表现中的重要性，以及对来自腹膜或任何疑似结核部位的组织标本进行组织学检查作为诊断确认工具的价值。
