title: [A case of dry-type tuberculous peritonitis due to small intestinal tuberculosis associated with systemic inflammatory response syndrome].
abstract: A 30-year-old man was admitted to another hospital because of abdominal fullness, pain, and fever. Laboratory examinations revealed marked inflammation, and abdominal computed tomography showed diffuse thickening of the small intestinal wall and peritoneum, and soft tissue infiltration of the mesentery, without ascites. A chest X-ray showed no abnormal findings. Despite antibiotic and antituberculous therapy, the patient's general condition deteriorated; he subsequently developed systemic inflammatory response syndrome (SIRS). We therefore started steroid pulse therapy, which resulted in rapid improvement of his condition and symptoms. On the basis of enteroscopy, stool culture, and peritoneal biopsy findings, the patient was diagnosed with tuberculous peritonitis caused by small intestinal tuberculosis and was readministered antituberculous therapy.
authors.affiliation: Department of Gastroenterology and Hepatology, Kansai Medical University, 2-5-1, Shinmachi, Hirakata-shi, Osaka 573-1191, Japan. kawamats@hirakata.kmu.ac.jp
authors.forename: Seiji
authors.initials: S
authors.lastname: Kawamata
mesh_terms: D000328:Adult; D006801:Humans; D007421:Intestine, Small; D008297:Male; D014395:Peritonitis, Tuberculous / Q000150:complications* / Q000188:drug therapy; D018746:Systemic Inflammatory Response Syndrome / Q000150:complications* / Q000188:drug therapy