Lukosiute-Urboniene A, Dekeryte I, Donielaite-Anise K, Kilda A, Barauskas V. Challenging diagnosis of abdominal tuberculosis in children: cases report.
Int J Infect Dis 2021;
116:130-132. [PMID:
34954096 DOI:
10.1016/j.ijid.2021.12.342]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 12/15/2021] [Accepted: 12/17/2021] [Indexed: 10/19/2022] Open
Abstract
Tuberculosis (TB) remains a significant cause of morbidity and mortality in the modern world. Abdominal tuberculosis is a rare form of extrapulmonary TB, especially in children without comorbidities, although exact numbers are unavailable because of lack of the data and its rarity. Diagnosis of abdominal TB remains a challenge, because of its unspecific clinical features and unclear recommendations for the best diagnostic tools. We represent 4 cases of children abdominal tuberculosis diagnosed at The Hospital of Lithuanian University of Health Sciences (LUHS) Kaunas clinics from 2008 to 2018 at the Department of Paediatric surgery. All these cases are exceptional. The final diagnosis of abdominal TB was confirmed only after diagnostic laparoscopy and biopsy. Moreover, we suggest that Quantiferon test and ascitic fluid analysis with SAAG and ADA tests should be performed before more invasive interventions. Laparoscopy with biopsy should be done only in still unclear cases.
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