Belohlavek D, Rösch W, Becker V
Fortschr Med. 1977 Oct 27;95(40):2427-8, 2430-1.
The case history of a 40 year old male with septical temperatures and ascites is presented. Because of skin-pigmentation, hypotension, low rate of electrolytes, augmented renin-activity, and septical temperatures there was a suspicion of Addison's disease. A protein-rich ascites without tumor cells and erythrocytes, but with lymphocytes gives the diagnosis of peritonitis tuberculosa. Addison's disease and peritonitis tuberculosa are late manifestations of an organ tuberculosis, about 20 years after pulmonal tuberculosis.
本文介绍了一名40岁男性患者的病史,该患者伴有败血症性发热和腹水。由于皮肤色素沉着、低血压、电解质水平低、肾素活性增强以及败血症性发热,怀疑患有艾迪生病。腹水富含蛋白质,无肿瘤细胞和红细胞,但有淋巴细胞,提示为结核性腹膜炎。艾迪生病和结核性腹膜炎是器官结核的晚期表现,大约在肺结核发生20年后出现。