[Hepato-splenic and peritoneal tuberculosis. A difficult diagnosis].
Peritoneal tuberculosis is a rare extra-pulmonary location of Mycobacterium tuberculosis infection arising in the gastrointestinal tract mostly as a complication of the pulmonary location or seldom as a primary involvement. The authors report the case of a 18-year old girl admitted in 1996 to the Infectious Diseases Department of the Umberto I Hospital, "La Sapienza" State University of Rome for the persistence of fever and dry cough, despite a protracted antibiotic treatment performed in previous hospital admissions for a suspicious diagnosis of a "broncho-pneumonia". As the fever didn't decrease and a pain at the right ilium arose, an anti-tuberculous chemotherapeutic treatment was performed (isoniazid and rifampicin), that improved the state of the patient. The pain was resolved by means of a celioscopic operation, showing the evidence of various white nodes on the peritoneal, hepatic and lienal surfaces; all these pathognomonic signs and the anti-tuberculous chemotherapy confirmed the diagnosis of "hepatic, lienal and peritoneal tuberculosis". The patient was subsequently admitted to our institute, where an anti-tuberculous treatment (isoniazid, rifampicin and pyrazinamide) was performed, which caused a further resolution of the clinical and radiological picture.
Saed
G
G
Ospedale Carlo Forlanini, Dipartimento di Scienze Cardiovascolari e Respiratorie, Università degli Studi di Roma La Sapienza.
Carosella
G
G
Potalivo
S
S
Panzini
L
L
Gidaro
M
M
Bisetti
A
A
D000293:Adolescent; D005260:Female; D006801:Humans; D014395:Peritonitis, Tuberculous / Q000150:complications / Q000175:diagnosis*; D014386:Tuberculosis, Hepatic / Q000150:complications / Q000175:diagnosis*; D014400:Tuberculosis, Splenic / Q000150:complications / Q000175:diagnosis*