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頁籤選單縮合
題名 | Fever in a Patient with Liver Cirrhosis: Tuberculous Peritonitis with Cytomegalovirus Co-infection= |
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作者 | Wang, Ying-chuan; Chiu, Chun-hsiang; Lin, Yu-chieh; Shen, Hueng-yuan; Yang, Ya-sung; Wang, Ning-chi; |
期刊 | Journal of Medical Sciences |
出版日期 | 20121000 |
卷期 | 32:5 2012.10[民101.10] |
頁次 | 頁239-242 |
分類號 | 415.2774 |
語文 | eng |
關鍵詞 | 肝硬化; 腹膜炎; Liver cirrhosis; Tuberculous peritonitis; Cytomegalovirus; Fever; |
英文摘要 | Tuberculous peritonitis is an insidious disease without clearly indicative clinical, laboratory, or radiologic findings. Therefore, the diagnosis of this disease is difficult. We present a liver cirrhosis patient who had simultaneous tuberculous peritonitis and reactivation of cytomegalovirus (CMV) infection. The diagnosis of tuberculous peritonitis could have been missed due to concurrent cytomegalovirus viremia and lymphadenitis and because lymphadenopathy was initially believed to be caused by malignancy. Positron emission tomography and computed tomography (PET/CT) scans revealed an increased uptake of the dye over the lymph nodes of the right supraclavicular region, left subclavicular region, and the right-side of the pelvis. These findings were initially considered to be indicative of malignancy related lymphadenopathy. The diagnosis of tuberculous peritonitis was confirmed by paracentesis and Mycobacterium culture of the ascetic fluid. Diagnostic paracentesis with Mycobacterium culture of the ascetic fluid, and endoscopy with biopsy may provide conclusive evidence for the diagnosis of peritoneal tuberculosis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。