Popa Romeo, Georgescu Cristian-Corneliu, Caragea Daniel-Cosmin, Cana-Ruiu Daniela, Ene Cristina, Radu Lucretiu, Gheorman Victor, Varut Marius-Ciprian, Gheorman Veronica, Orezanu Andrei, Codea Andrei Razvan, Ghilusi Mirela, Popa Loredana-Adriana, Diaconu Magdalena
Department of Pharmacology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Department of Nephrology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Reports (MDPI). 2023 Sep 22;6(4):44. doi: 10.3390/reports6040044.
Tuberculosis Peritonitis is a serious condition, whose diagnosis is established late due to the nonspecific nature of the clinical features, which delays the performance of imaging investigations and, implicitly, the setting of the diagnosis through biopsy and histopathological examination. We report the case of a 49-year-old man who presented in our clinic with nonspecific symptoms and significant nitrogen retention, with ascites fluid detected during the clinical-paraclinical examination, ultimately confirming the diagnosis of bacillary peritonitis. Confirmation of tuberculous etiology through biopsy and/or bacteriological examination is sovereign for the diagnosis. The therapeutic protocol includes three anti-tuberculostatic drugs, for a period of at least 6 months, with or without the combination of corticosteroid therapy during the first months of treatment. The patient evolution under treatment was initially favorable, but due to peritoneal adhesions, it underwent complications later.
结核性腹膜炎是一种严重疾病，因其临床特征不具特异性，诊断往往延迟，这导致影像学检查滞后，进而也延误了通过活检和组织病理学检查来确诊。我们报告一例49岁男性病例，该患者因非特异性症状和显著氮潴留前来我院就诊，临床辅助检查时发现腹水，最终确诊为细菌性腹膜炎。通过活检和/或细菌学检查确认结核病因对诊断至关重要。治疗方案包括三种抗结核药物，疗程至少6个月，治疗最初几个月可联合或不联合皮质类固醇治疗。患者治疗初期病情进展良好，但后来因腹膜粘连出现了并发症。
