Perry W, McKerron C G
J Trop Med Hyg. 1976 Apr;79(4):83-4.
Three immigrant patients with peritoneal tuberculosis seen over a three year period are discussed. All three patients presented with fever and minimal abdominal signs. One patient developed ascites while under investigation. In all cases, the fever was prolonged, liver enzymes were elevated and the ESR was raised. Two patients required laparotomy to make the diagnosis, and in the third tubercle bacilli were grown from the ascitic fluid. The difficulties in diagnosis are discussed.
本文讨论了在三年期间接诊的三名移民性腹膜结核患者。所有三名患者均表现为发热且腹部体征轻微。一名患者在检查期间出现腹水。所有病例中,发热持续时间长,肝酶升高,血沉加快。两名患者需要剖腹手术才能确诊,第三名患者的腹水培养出结核杆菌。文中讨论了诊断方面的困难。