[Adenosine deaminase is useful for the diagnosis of peritoneal tuberculosis in patients with end-stage renal failure].
BACKGROUND
End-stage renal failure patients are particularly at risk for tuberculosis, especially for peritoneal tuberculosis. Microbiological diagnosis remains hazardous in many cases.


METHODS
We report on a case of peritoneal tuberculosis in an end-stage renal failure patient. The diagnosis was suspected on the basis of adenosine deaminase dosage in peritoneal fluid, allowing an early presumptive treatment and a favourable outcome with a 3 years follow-up.


CONCLUSIONS
The measurement of adenosine deaminase activity in ascites represents a diagnostic advance in tuberculous peritonitis among end-stage renal failure patients.
Gobert
D
D
Service de Médecine Interne, Hôpital Bichat, 46, rue Henri-Huchard, 75722 Paris cedex 18, France.
Lidove
O
O
de Fontbrune
F Sicre
FS
Peltier
J
J
Chedid
K
K
Burnat
P
P
Perrier
F
F
Chauveheid
M-P
MP
Papo
T
T
D000243:Adenosine Deaminase / Q000097:blood*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood / Q000150:complications* / Q000201:enzymology; D008297:Male; D008875:Middle Aged; D014395:Peritonitis, Tuberculous / Q000097:blood / Q000175:diagnosis* / Q000201:enzymology
D000243:Adenosine Deaminase