title: [Tuberculosis as a rare cause for an abdominal mass: report on three cases and review of the literature].
abstract: Here we present 3 patients with abdominal pain, weight loss and fever in combination with abdominal tumours which were all attributable to an ongoing mycobacterial infection. Worldwide, but especially in developing countries, tuberculosis is still an important cause of morbidity and death. In industrialised countries, however, tuberculosis is rarely considered as a differential diagnosis, especially when the primary lesion is not localised in the lung. Primary abdominal manifestations, in particular, are a frequent cause of delayed diagnosis due to the often elaborated necessary diagnostics. Once the diagnosis has been established, a combination therapy starting with isoniazid, rifampicin, pyrazinamide and ethambutol, i. e., the standard therapeutic regimen for pulmonary tuberculosis, is recommended. Concomitant diseases and atypical courses, however, often constitute serious challenges to the treating physician. Therefore, we here give a review of the literature and discuss three cases of abdominal tuberculosis with regard to clinical characteristics, diagnostic pitfalls and courses of disease.
authors.affiliation: Universitätsklinikum Würzburg, Medizinische Klinik und Poliklinik II, Schwerpunkt Infektiologie, Würzburg.
authors.forename: A
authors.initials: A
authors.lastname: Helle-Beyersdorf
authors.forename: J
authors.initials: J
authors.lastname: Zirkel
authors.forename: A
authors.initials: A
authors.lastname: Heidemeier
authors.forename: H
authors.initials: H
authors.lastname: Klinker
authors.forename: W J
authors.initials: WJ
authors.lastname: Heinz
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis* / Q000209:etiology*; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D035583:Rare Diseases / Q000150:complications / Q000175:diagnosis; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000175:diagnosis*