Información del artículo
Resumen
Debemos pensar en el diagnóstico de tuberculosis peritoneal en cualquier paciente con dolor abdominal de etiología desconocida, ascitis y fiebre. Puede presentarse de manera insidiosa (forma clásica), o bien como infertilidad primaria o secundaria (forma actual). El diagnóstico se realiza con el estudio anatomopatológico de los granulomas caseificantes y mediante el cultivo del líquido peritoneal. Nuevas pruebas diagnósticas, como el estudio del ADA (ascitis fluid adenosine deaminasa), pueden cambiar el algoritmo diagnóstico de esta enfermedad
Palabras clave:
Tuberculosis peritoneal
Ascitis
Mycobacterium tuberculosis
Summary
A diagnosis of peritoneal tuberculosis should be considered in all patients with abdominal pain of unknown etiology, ascites and fever. Presentation can be insidious (classical form) or as primary or secondary infertility (as in the present case). Diagnosis is achieved by histological analysis of the caseous granulomas and by fluid culture. New diagnostic tests, such as determination of adenosine deaminase activity (ADA) in ascitic fluid could change the diagnostic algorithm of this disease
Keywords:
Peritoneal tuberculosis
Ascites
Mycobacterium tuberculosis
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