Peritoneal tuberculosis in children: report of two cases] |
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Authors: | P Blanc I Perrin L Barlet C Talbotec O Goulet A Paupe R Lenclen R Carbajal |
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Affiliation: | Service de pédiatrie, site de Poissy, centre hospitalier Poissy-Saint-Germain-en-Laye, 10, rue du Champ-Gaillard, BP 3082, 78303 Poissy, France. pblanc@chi-psg.com |
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Abstract: | Peritoneal tuberculosis is an uncommon presentation of extra-pulmonary tuberculosis in children. It usually presents as ascites, abdominal pain, anorexia and weight loss. CASES REPORT: We report two adolescent patients who presented with ascites, fever, weight loss and abdominal distension. In one case, the diagnosis was late, and confirmed by ascites culture. In the second case, a laparoscopy was performed and showed whitish nodules involving the entire abdominal cavity, compatible with peritoneal tuberculosis, later confirmed bacteriologically. CONCLUSION: Peritoneal tuberculosis presents with nonspecific symptoms. Because laboratory investigations may not be helpful, diagnosis may be difficult. Peritoneal-fluid adenosine deaminase (ADA) determination and coelioscopy seem to be the best way to make a rapid diagnosis. |
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