Concurrent small bowel lymphoma and mycobacterial infection: use of adenosine deaminase activity and polymerase chain reaction to facilitate rapid diagnosis and treatment.
We describe the presentation and investigation of a rare case of small bowel lymphoma with concurrent abdominal tuberculosis, two diseases with similar findings at presentation, but very different treatments. We emphasize the importance of considering primary peritonitis in this context, and review current methods of rapid diagnosis of abdominal tuberculosis, which in this instance led to timely appropriate treatment.
Gilroy
Douglas
D
Whiteabbey Hospital, Doagh Road, Newtonabbey, UK. d.gilroy2@ntlworld.com
Sherigar
Jag
J
D000243:Adenosine Deaminase / Q000032:analysis; D000995:Antitubercular Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D004279:DNA, Viral / Q000032:analysis; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications* / Q000175:diagnosis; D016393:Lymphoma, B-Cell / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000235:genetics; D014395:Peritonitis, Tuberculous / Q000150:complications* / Q000175:diagnosis; D016133:Polymerase Chain Reaction; D014385:Tuberculosis, Gastrointestinal / Q000150:complications* / Q000175:diagnosis
D000995:Antitubercular Agents; D004279:DNA, Viral; D000243:Adenosine Deaminase