Global Advanced Research Journal of Medicine and Medical Sciences (GARJMMS) ISSN: 2315-5159
September 2013 Vol. 2(9), pp. 204-206
Copyright © 2013 Global Advanced Research Journals

 

Case Report

Abdominal tuberculosis: Often an eluded diagnosis

Mbata GC1,2*, Chukwuocha C1, Nwadike VU3, Egejuru RO4, Nweke IG4 and Ibiam FA5

1Department of Internal Medicine, Federal Medical Centre, Owerri, Imo State, Nigeria.
2Department of Internal Medicine, Federal Medical Centre Umuahia, Abia State, Nigeria.
3Department of Microbiology, Federal Medical Centre Owerri, Imo State, Nigeria.
4Department of Pathology, Federal Medical Centre Owerri, Imo State, Nigeria.
5Department of Otolaryngology, Federal Medical Centre Owerri, Imo State, Nigeria.

*Corresponding Author E-mail: mbatag@yahoo.com  

Accepted 25 September, 2013

Abstract

Abdominal tuberculosis (TB) is more common in the developing nations and less common in the developed world. The onset is insidious and clinical presentation can mimic any abdominal condition. The diagnosis can be made by heightened clinical suspicion; ultra sound or computerized tomography guided aspiration of peritoneal fluid/tissue or sample taken at laparoscopy or laparotomy can be cultured or sent for histology. The diagnosis is often made in the late stage of the disease with attendant poor prognosis. Once abdominal TB is considered, a goal oriented diagnostic procedure is indicated and must be pursued vigorously. Early treatment will prevent complications and reduce mortality. Directly observed therapy (DOT) is recommended as it ensures good treatment outcome. 

Keywords: Tuberculosis, Abdomen, Diagnosis, Management.

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