Abdominal Tuberculosis in Children

Tinsa, Faten; Essaddam, L.; Fitouri, Z.; Brini, Inès; Douira, W.; Becher, Saïda Ben; Boussetta, K.; Bousnina, S.

doi:10.1097/mpg.0b013e3181b6a57b

Cited by 57 publications

(68 citation statements)

References 23 publications

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“…Most common clinical signs and symptoms are fever, weight loss, abdominal pain, abdominal swelling, hepatomegaly, diarrhea and constipation, fatigue and malaise (3,10,11,25). The most common symptoms reported in various studies were fever (73% -75%) (12,26), weight loss (46.9% -81%) (12,27), fatigue (81%) (27), and abdominal pain (51.2% -93%) (12,24,28,29). In agreement with the literature the clinical symptoms of the study patients were similarly nonspecific; the most common of which was abdominal pain observed in all patients, followed by fever (50%) and abdominal distension (25%).…”

Section: Discussionsupporting

confidence: 77%

Clinical Presentation in a Series of Eight Children with Abdominal Tuberculosis: Experience of a Single-Center in Turkey

et al. 2017

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Background: Abdominal tuberculosis, the sixth commonest extrapulmanory tuberculosis, is easily misdiagnosed due to nonspecific gastrointestinal symptoms. The diagnosis is highly dependent on clinician's suspicion of the disease; therefore to increase awareness we retrospectively reviewed clinical features of eight children in a four year-period. Methods: The medical records of children with abdominal TB were retrospectively reviewed. The diagnosis of abdominal TB was defined as Mycobacterium tuberculosis infection of gastrointestinal tract along with peritoneal or solid organ involvement.

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Section: Discussionsupporting

confidence: 77%

Clinical Presentation in a Series of Eight Children with Abdominal Tuberculosis: Experience of a Single-Center in Turkey

et al. 2017

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“…One complaint at the time of presentation in abdominal tuberculosis is acute abdomen. The frequency of this varies between 7.7-15% (25,31,37,15). The frequency among our patients was 17.1%.…”

Section: Discussionmentioning

confidence: 99%

“…Pain can be either colicky due to luminal compromise, or dull and continuous when the mesenteric lymph nodes are involved. The most common symptoms reported in various studies were fever (73-75%) (20,21), weight loss (46.9-81%) (21,22), fatigue (81%) (22), and abdominal pain (51.2-93%) (4,21,(23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

Assessment of 35 children with abdominal tuberculosis

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Somer²,

Törün³

et al. 2015

Turk J Gastroenterol

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Background/Aims: To contribute to the diagnosis and treatment of pediatric abdominal tuberculosis cases by assessing the clinical, laboratory, and radiological features of patients who presented at our clinic and were diagnosed with abdominal tuberculosis. Materials and Methods: Clinical, laboratory, and radiological features were reviewed retrospectively for 35 patients diagnosed with abdominal tuberculosis and followed up at the Pediatric Infectious Diseases Clinic between January 1987 and August 2012. Results: The study group included 16 female (45.7%) and 19 male (54.3%) patients with an age range of 6 months to 16 years (mean: 9.77±4.36 years). Twenty-nine patients were diagnosed with tuberculosis peritonitis, five patients with intestinal tuberculosis, and one patient with pelvic tuberculosis. The most common signs and symptoms were ascites, abdominal pain, abdominal distention, weight loss, and fever. Mean duration of the complaints was 109 days (range: 10 days to 3 years). Conclusion: Abdominal tuberculosis is a disease with an insidious course without disease-specific clinical and laboratory signs. When the disease is suspected, laparoscopy or laparotomy could be helpful in diagnosis. Employing ultrasound and computed tomography signs, abdominal tuberculosis should be included in differential diagnoses in regions with a high incidence of tuberculosis when there is abdominal pain, weight loss, ascites, history of contact with individuals with tuberculosis, and positive tuberculin skin test when patients have not been Bacillus Calmette Guerin BCG vaccinated.

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“…(7) (8) Informed consent was taken and then the patients were recruited. Patients who consented for the study were interviewed; all symptoms , duration of symptoms and co morbidities were recorded.…”

Section: Methodsmentioning

confidence: 99%