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題名 | Abdominal Tuberculosis in Southeastern Taiwan: 20 Years of Experience= |
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作者 | Chen, Huan-lin; Wu, Ming-shiang; Chang, Wen-hsiung; Shih, Shou-chuan; Chi, Hsin; Bair, Ming-jong; |
期刊 | Journal of the Formosan Medical Association |
出版日期 | 20090300 |
卷期 | 108:3 2009.03[民98.03] |
頁次 | 頁195-201 |
分類號 | 415.2773 |
語文 | eng |
關鍵詞 | Abdominal tuberculosis; Extrapulmonary tuberculosis; Gastrointestinal tuberculosis; Tuberculosis; Tuberculous peritonitis; |
英文摘要 | Background/Purpose: Abdominal tuberculosis (TB) is a rare manifestation of extrapulmonary TB. This disease entity can be overlooked, and its early diagnosis is difficult because of its variable manifestations and lack of specific symptoms. Methods: The clinical and diagnostic features, treatment, and outcome of patients with abdominal TB at a major hospital in southeastern Taiwan from January 1987 to December 2006 were investigated. Results: Twenty-one patients with abdominal TB identified during the 20-year period were included. A predominance of male (13/21, 61.9%) and Taiwanese aborigine (15/21, 71.4%) patients was noted. Middleaged (30-50 years) patients with alcoholic liver cirrhosis had the highest risk. Common presenting features included abdominal pain (18/21, 85.7%), fever (16/21, 76.2%), ascites (13/21, 61.9%), and weight loss (12/21, 57.3%). The mean time to reach a diagnosis was 48±10 days. Tuberculous peritonitis was noted in 11 patients, with a high correlation with liver cirrhosis (p=0.0237, Fisher's exact test). The other patients were diagnosed with TB of the gastrointestinal tract (n=6), urinary tract (n=2), and pelvis (n=2). Abdominal sonography and abdominal computed tomography were helpful for diagnosis, by revealing ascites and thickening of the peritoneum. Pulmonary involvement was noted in 11 patients. Most of the patients (16/21, 76.2%) improved with anti-tuberculosis therapy, and five patients died from sepsis and respiratory failure. Conclusion: Abdominal TB is a rare manifestation of extrapulmonary TB, even in southeastern Taiwan where TB is prevalent. Delay in diagnosis is common and abdominal TB should be included in the differential diagnosis of middle-aged aborigine men with alcoholic liver cirrhosis and peritonitis. |
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