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Karın ağrısı ve diyare ile başvuran peritoneal tüberküloz olgusunda asit sıvısı adenozin deaminaz aktivitesinin tanısal rolü

Yıl 2021, Cilt: 13 Sayı: 3, 648 - 651, 18.10.2021

Haluk Mergen Elif Erdem Harun Akar

https://doi.org/10.18521/ktd.932001

Öz

Assiti bulunan periton tüberkülozu tanısı alan genç bir vaka burada sunulacaktır. Tüberküloz peritonit gelişimi için önemli risk oluşturabilecek durumlar arasında; kötü hijyen, aşırı nüfus, pastörize edilmemiş süt tüketimi, siroz, periton diyalizi, HIV enfeksiyonu, uyuşturucu kullanımı ve sağlık hizmetlerine yetersiz erişim bulunmaktadır. Genelde tüberküloz ajanı, gastrointestinal sisteme hematojen yolla, enfekte balgam yutulmasıyla veya doğrudan yayılma yoluyla ulaşır. Karın ağrısı, ishal, kilo kaybı, iştahsızlık, gece terlemeleri, asit sıvısı varlığı, bilateral plevral efüzyon, plevral nodül görünümü ve olgumuzda olduğu gibi peritonit karsinomatozunu düşündüren bulguları olan hastalarda ayırıcı tanıda peritoneal TB akla gelmelidir. Periton tüberkülozu, yüksek bir şüphe indeksi olmaksızın nadiren teşhis edilir.

Anahtar Kelimeler

Tüberküloz Assit Adenozin Deaminaz

Destekleyen Kurum

yok

Kaynakça

  • 1. World Health Organization (2017) Global Tuberculosis Report 2017. World Health Organization Available: http://www.who.int/tüberküloz/publications/global_report/gtüberkülozr2017_annex1.pdf?ua=1
  • 2. Marshall JB. Tuberculosis of gastrointestinal tract and peritoneum. Am J Gastroenterol 1993;88:989-99.
  • 3. Sanai FM, Bzeizi KI. Systematic review: tuberculous peritonitis-presenting features, diagnostic strategies and treatment. Aliment Pharmacol Ther 2005;22: 685-700.
  • 4. Shakil AO, Korula J, Kanel GC, et al. Diagnostic features of tuberculous peritonitis in the absence and presence of chronic liver disease. A case control study. Am J Med 1996;100:179-85.
  • 5. Manohar A, Simjee AE, Haffejee AA, et al. Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy and biopsy over a five years period. Gut 1990;31:1130-2.
  • 6. Akpolat T. Tuberculous peritonitis. Perit Dial Int 2009;29:s166-9.
  • 7. Khatri GR, Frieden TR. Controlling tuberculosisin in India. N Engl J Med 2002;347:1420-5.
  • 8. Riquelme A, Calvo M, Salech F, et al. Value of adenosine deaminase (ADA) in ascitic fluid for the diagnosis of tuberculous peritonitis: a meta-analysis. J Clin Gastroenterol 2006; 40:705–710.
  • 9. Uzunkoy A, Harma M, Harma M. Diagnosis of abdominal tuberculosis: Experience from 11 cases and review of the literature. World J Gastroenterol 2004;10:3647-9.
  • 10. Vardareli E, Kebapci M, Saricam T, Pasaoglu O, Acikalin M. Tuberculous peritonitis of the wet ascitic type: Clinical features and diagnostic value of image-guided peritoneal biopsy. Dig Liver Dis 2004;36:199-204.
  • 11. Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res 2004;120:305-15.
  • 12. Horvath KD, Whelan RL. Intestinal tuberculosis:return of an old disease. Am J Gastroenterol 1998;93:692-6.
  • 13. Bolognesi M, Bolognesi D. Complicated and delayed diagnosis of tuberculous peritonitis, Am J Case Rep 2013;16;14:109-12. http://dx.doi.org/10.12659/ajcr.883886
  • 14. Taskıran E, Yıldırım M, Soyaltın UE, Gulle S, Dereli MS, Akar H. Tuberculosis infection with hepatic involvement mimicking liver metastasis in an elderly patient. European Geriatric Medicine 2016;7:369-71.
  • 15. Sevgili B, Kaypak MA, Somay R, Atalay S, Köse Ş, Akar H. Extrapulmonary tuberculosis mimicking gynecological malignancies. FNG & Demiroğlu Bilim Tıp Dergisi 2019;5(1):32-35.

The diagnostic role of ascitic fluid adenosine deaminase activity in a peritoneal tuberculosis case presenting with abdominal pain and diarrhea

Yıl 2021, Cilt: 13 Sayı: 3, 648 - 651, 18.10.2021

Haluk Mergen Elif Erdem Harun Akar

https://doi.org/10.18521/ktd.932001

Öz

A young case diagnosed with peritoneal tuberculosis with ascites will be presented here. Conditions that may pose a significant risk for the development of tuberculous peritonitis; poor hygiene, overpopulation, consumption of unpasteurized milk, cirrhosis, peritoneal dialysis, HIV infection, drug abuse and inadequate access to healthcare. In general, the tuberculosis agent reaches the gastrointestinal system via hematogenous route, ingestion of infected sputum, or direct spread. Peritoneal TB should be considered in the differential diagnosis in patients with abdominal pain, diarrhea, weight loss, anorexia, night sweats, presence of ascitic fluid, bilateral pleural effusion, pleural nodule appearance, and findings suggestive of peritonitis carcinomatosis, as in our case. Peritoneal tuberculosis is rarely diagnosed, without a high index of suspicion for this disease.

Anahtar Kelimeler

Tuberculose ascites adenosine deaminase

Kaynakça

  • 1. World Health Organization (2017) Global Tuberculosis Report 2017. World Health Organization Available: http://www.who.int/tüberküloz/publications/global_report/gtüberkülozr2017_annex1.pdf?ua=1
  • 2. Marshall JB. Tuberculosis of gastrointestinal tract and peritoneum. Am J Gastroenterol 1993;88:989-99.
  • 3. Sanai FM, Bzeizi KI. Systematic review: tuberculous peritonitis-presenting features, diagnostic strategies and treatment. Aliment Pharmacol Ther 2005;22: 685-700.
  • 4. Shakil AO, Korula J, Kanel GC, et al. Diagnostic features of tuberculous peritonitis in the absence and presence of chronic liver disease. A case control study. Am J Med 1996;100:179-85.
  • 5. Manohar A, Simjee AE, Haffejee AA, et al. Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy and biopsy over a five years period. Gut 1990;31:1130-2.
  • 6. Akpolat T. Tuberculous peritonitis. Perit Dial Int 2009;29:s166-9.
  • 7. Khatri GR, Frieden TR. Controlling tuberculosisin in India. N Engl J Med 2002;347:1420-5.
  • 8. Riquelme A, Calvo M, Salech F, et al. Value of adenosine deaminase (ADA) in ascitic fluid for the diagnosis of tuberculous peritonitis: a meta-analysis. J Clin Gastroenterol 2006; 40:705–710.
  • 9. Uzunkoy A, Harma M, Harma M. Diagnosis of abdominal tuberculosis: Experience from 11 cases and review of the literature. World J Gastroenterol 2004;10:3647-9.
  • 10. Vardareli E, Kebapci M, Saricam T, Pasaoglu O, Acikalin M. Tuberculous peritonitis of the wet ascitic type: Clinical features and diagnostic value of image-guided peritoneal biopsy. Dig Liver Dis 2004;36:199-204.
  • 11. Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res 2004;120:305-15.
  • 12. Horvath KD, Whelan RL. Intestinal tuberculosis:return of an old disease. Am J Gastroenterol 1998;93:692-6.
  • 13. Bolognesi M, Bolognesi D. Complicated and delayed diagnosis of tuberculous peritonitis, Am J Case Rep 2013;16;14:109-12. http://dx.doi.org/10.12659/ajcr.883886
  • 14. Taskıran E, Yıldırım M, Soyaltın UE, Gulle S, Dereli MS, Akar H. Tuberculosis infection with hepatic involvement mimicking liver metastasis in an elderly patient. European Geriatric Medicine 2016;7:369-71.
  • 15. Sevgili B, Kaypak MA, Somay R, Atalay S, Köse Ş, Akar H. Extrapulmonary tuberculosis mimicking gynecological malignancies. FNG & Demiroğlu Bilim Tıp Dergisi 2019;5(1):32-35.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Olgu Sunumu
Yazarlar

Haluk Mergen 0000-0001-6628-7321

Elif Erdem Bu kişi benim 0000-0001-6628-7321

Harun Akar 0000-0002-0936-8691

Yayımlanma Tarihi 18 Ekim 2021
Kabul Tarihi 6 Eylül 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 13 Sayı: 3

Kaynak Göster

APA Mergen, H., Erdem, E., & Akar, H. (2021). The diagnostic role of ascitic fluid adenosine deaminase activity in a peritoneal tuberculosis case presenting with abdominal pain and diarrhea. Konuralp Medical Journal, 13(3), 648-651. https://doi.org/10.18521/ktd.932001
AMA Mergen H, Erdem E, Akar H. The diagnostic role of ascitic fluid adenosine deaminase activity in a peritoneal tuberculosis case presenting with abdominal pain and diarrhea. Konuralp Medical Journal. Ekim 2021;13(3):648-651. doi:10.18521/ktd.932001
Chicago Mergen, Haluk, Elif Erdem, ve Harun Akar. “The Diagnostic Role of Ascitic Fluid Adenosine Deaminase Activity in a Peritoneal Tuberculosis Case Presenting With Abdominal Pain and Diarrhea”. Konuralp Medical Journal 13, sy. 3 (Ekim 2021): 648-51. https://doi.org/10.18521/ktd.932001.
EndNote Mergen H, Erdem E, Akar H (01 Ekim 2021) The diagnostic role of ascitic fluid adenosine deaminase activity in a peritoneal tuberculosis case presenting with abdominal pain and diarrhea. Konuralp Medical Journal 13 3 648–651.
IEEE H. Mergen, E. Erdem, ve H. Akar, “The diagnostic role of ascitic fluid adenosine deaminase activity in a peritoneal tuberculosis case presenting with abdominal pain and diarrhea”, Konuralp Medical Journal, c. 13, sy. 3, ss. 648–651, 2021, doi: 10.18521/ktd.932001.
ISNAD Mergen, Haluk vd. “The Diagnostic Role of Ascitic Fluid Adenosine Deaminase Activity in a Peritoneal Tuberculosis Case Presenting With Abdominal Pain and Diarrhea”. Konuralp Medical Journal 13/3 (Ekim 2021), 648-651. https://doi.org/10.18521/ktd.932001.
JAMA Mergen H, Erdem E, Akar H. The diagnostic role of ascitic fluid adenosine deaminase activity in a peritoneal tuberculosis case presenting with abdominal pain and diarrhea. Konuralp Medical Journal. 2021;13:648–651.
MLA Mergen, Haluk vd. “The Diagnostic Role of Ascitic Fluid Adenosine Deaminase Activity in a Peritoneal Tuberculosis Case Presenting With Abdominal Pain and Diarrhea”. Konuralp Medical Journal, c. 13, sy. 3, 2021, ss. 648-51, doi:10.18521/ktd.932001.
Vancouver Mergen H, Erdem E, Akar H. The diagnostic role of ascitic fluid adenosine deaminase activity in a peritoneal tuberculosis case presenting with abdominal pain and diarrhea. Konuralp Medical Journal. 2021;13(3):648-51.
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