title: [Peritoneal tuberculosis due to Mycobacterium bovis in a cirrhotic patient].
abstract: Isolated peritoneal tuberculosis is an uncommon extrapulmonary form of presentation of tuberculosis in industrialized countries. In most cases, this disease is the result of reactivation and secondary hematogenous spread of a latent infection. Although the suspected diagnosis is given by clinical manifestations and analysis of ascitic fluid (lymphocytic predominance, albumin gradient between serum and ascitic fluid 1g/dl and adenosine deaminase concentration > or = 39 U/L), microbiologic assessment is required for the definitive diagnosis. Mycobacterium bovis causes tuberculosis in animals. Transmission to humans is rare in developed areas, given that it usually occurs through ingestion of unpasteurized contaminated milk. We present a patient with cirrhosis who developed ascites caused by an exceptional infection in our setting.
authors: Departamento de Digestivo, Hospital Universitario Central de Asturias, Oviedo, España.
authors: Patricia
authors: P
authors: García-González
authors: María
authors: M
authors: Varela
authors: Juan José
authors: JJ
authors: Palacios
authors: Luis
authors: L
authors: Rodrigo
mesh_terms: D000369:Aged, 80 and over; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D009163:Mycobacterium bovis; D014395:Peritonitis, Tuberculous / Q000382:microbiology*