Peritoneal Tuberculosis in a 56-year-old male patient with a history of Type 2 Diabetes Mellitus. Case Report

• Published in: Salud, Ciencia y Tecnología Vol. 3; p. 516
• Main Authors: Manzano Quisimalin, Devora Estefania, Merino Gualan, Luis Emilio, Vega Vélez, María José, Sarango Guamaní, Vanesa Elizabeth, Carrión Granda, Carlos Andrés
• Format: Journal Article
• Language: English
• Published: 21.08.2023
• ISSN: 2796-9711
• DOI: 10.56294/saludcyt2023516

Introduction: Tuberculosis (TB) continues to be a major global problem with significant morbidity and mortality. It ranks as the 10th leading cause of death worldwide. Peritoneal tuberculosis most commonly occurs after the reactivation of latent tuberculosis foci in the peritoneum established through hematogenous spread from a primary pulmonary focus. Its clinical presentation is usually nonspecific and insidious, and early diagnosis is important to establish specific treatment. The most recurrent symptoms are ascites, abdominal pain, weight loss and fever. The diagnosis of PTB is usually incidental, in most cases in the course of an acute surgical abdomen. Clinical case and evolution: a 56-year-old male patient with a history of type 2 diabetes mellitus diagnosed 3 years ago on current treatment with metformin, refers a clinical picture for 3 months characterized by generalized diffuse mild abdominal pain Eve 3/10, accompanied by hyporexia, anorexia, weight loss. Laboratory tests that show leukocytosis and thrombosis suggestive of infection, electrolytes with hyperosmolar hyponatremia, altered nitrogen compounds, abdominal physical examination shows positive ascitic wave, abdominal pain persists during hospitalization, endoscopy is performed without findings of infection, parenthesis is performed due to persistent ascites, diffuse abdominal pain is exacerbated at rest plus thermal rise greater than 38 degrees. Antibiotic therapy and emergency exploratory laparotomy were decided. Conclusions: wet PTB is characterized by abundant ascites, as it is an exudate with a high protein content. For its diagnosis, only peritoneal biopsy is required