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Tuberculous PeritonitisAka: Peritonitis due to Mycobacterium tuberculosis

Risk Factors
1. HIV Infection
2. Cirrhosis
3. Ambulatory peritoneal dialysis
Pathophysiology
1. Results from peritoneal Tuberculosis reactivation
Symptoms
1. Abdominal Pain
2. Fever
Signs
1. Ascites
Laboratory: Peritoneal fluid
1. Exudative: Serum to Ascites albumin <1.1 g/dl
2. White Blood Cells >150/mm3 with Lymphocyte predominance
3. Send fluid for AFB smear and culture
  1. One liter is preferred to increase Test Sensitivity
4. Measures with highest sensitivity and Specificity
  1. Adenosine deaminase >33 U/L
  2. Peritoneal biopsy
Management
1. See Extrapulmonary Tuberculosis

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.