Abdominal Ascites of Unknown Origin: Diagnostic Accuracy of Adenosine Deaminase for Tuberculous Peritonitis
The occurrence of tuberculosis (TB) is exceedingly rare in the United States (US), and incidence has steadily declined since 1993, but the pace of decline has slowed in recent years. The US TB rate during 2019 declined to 2.7 cases per 100,000 persons, the lowest level on record. The abdominal form...
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| Veröffentlicht in: | Case Reports in Gastroenterology 2021-01, Vol.15 (1), p.418-423 |
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| creator | Mehershahi, Shehriyar Haider, Asim Fortuzi, Ked Shaikh, Danial H. Patel, Harish |
| description | The occurrence of tuberculosis (TB) is exceedingly rare in the United States (US), and incidence has steadily declined since 1993, but the pace of decline has slowed in recent years. The US TB rate during 2019 declined to 2.7 cases per 100,000 persons, the lowest level on record. The abdominal form is the sixth leading cause of extrapulmonary TB, after lymphatic, genitourinary, osteoarticular, miliary, and meningeal. Abdominal TB can infect any part of the gastrointestinal tract, including the peritoneum and the pancreaticobiliary system. We present a case of persistently elevated adenosine deaminase in peritoneal ascites of a young, healthy female with new-onset ascites. An extended diagnostic evaluation was performed to reach the diagnosis. |
| doi_str_mv | 10.1159/000514892 |
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Karger AG</publisher><subject>Abdomen ; abdominal pain ; Adenosine ; Adenosine deaminase ; Antibodies ; Ascites ; Biopsy ; Case reports ; Case studies ; Causes of ; Colonoscopy ; Complications and side effects ; Diabetes ; Diagnosis ; Granulomas ; Health aspects ; HIV ; Human immunodeficiency virus ; Infections ; Laparoscopy ; liver ; Lymphocytes ; Measurement ; Medical diagnosis ; Ovaries ; Pain ; Patients ; Peritoneal dialysis ; Peritonitis ; Single Case ; Systematic review ; Tuberculosis ; Ultrasonic imaging</subject><ispartof>Case Reports in Gastroenterology, 2021-01, Vol.15 (1), p.418-423</ispartof><rights>2021 The Author(s). Published by S. Karger AG, Basel</rights><rights>Copyright © 2021 by S. Karger AG, Basel.</rights><rights>COPYRIGHT 2021 S. Karger AG</rights><rights>2021 The Author(s). Published by S. Karger AG, Basel . This work is licensed under the Creative Commons Attribution – Non-Commercial License http://creativecommons.org/licenses/by-nc/3.0/ (the “License”). 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Karger AG, Basel 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c552t-c20bc0a446c5aa870423e025d8541a44a14b89ecda773c69a7746d75d25d60f13</citedby><cites>FETCH-LOGICAL-c552t-c20bc0a446c5aa870423e025d8541a44a14b89ecda773c69a7746d75d25d60f13</cites><orcidid>0000-0002-8773-3025</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077663/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077663/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,27634,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33976620$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mehershahi, Shehriyar</creatorcontrib><creatorcontrib>Haider, Asim</creatorcontrib><creatorcontrib>Fortuzi, Ked</creatorcontrib><creatorcontrib>Shaikh, Danial H.</creatorcontrib><creatorcontrib>Patel, Harish</creatorcontrib><title>Abdominal Ascites of Unknown Origin: Diagnostic Accuracy of Adenosine Deaminase for Tuberculous Peritonitis</title><title>Case Reports in Gastroenterology</title><addtitle>Case Rep Gastroenterol</addtitle><description>The occurrence of tuberculosis (TB) is exceedingly rare in the United States (US), and incidence has steadily declined since 1993, but the pace of decline has slowed in recent years. 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| subjects | Abdomen abdominal pain Adenosine Adenosine deaminase Antibodies Ascites Biopsy Case reports Case studies Causes of Colonoscopy Complications and side effects Diabetes Diagnosis Granulomas Health aspects HIV Human immunodeficiency virus Infections Laparoscopy liver Lymphocytes Measurement Medical diagnosis Ovaries Pain Patients Peritoneal dialysis Peritonitis Single Case Systematic review Tuberculosis Ultrasonic imaging |
| title | Abdominal Ascites of Unknown Origin: Diagnostic Accuracy of Adenosine Deaminase for Tuberculous Peritonitis |
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