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Abdominal Tuberculosis

  • Chapter
Tuberculosis

Abstract

Tuberculosis remains one of the major health problems in the world. WHO estimates that each year 8 million new cases of tuberculosis occur and approximately 3 million people die from the disease (WHO 1996). Tuberculosis is a disease of developing countries; however, its incidence is increasing in developed countries as well, mainly in the immigrant population and in patients with AIDS (McKenna et al. 1995; Barnes et al. 1991).

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References

  • Achem SR et al (1992) Pseudotumoral hepatic tuberculosis. Atypical presentation and comprehensive review of the literature. J Clin Gastroenterol 14:72–77

    Article  PubMed  CAS  Google Scholar 

  • Aguado JM et al (1990) Tuberculosis peritonitis: a study comparing cirrhotic and non-cirrhotic patients. J Clin Gastroenterol 12:with Perforation. Br J Clin Prac 44:632–633

    Google Scholar 

  • Alvarez S, McCabe WR (1984) Extrapulmonary tuberculosis revisited: a review of experience at Boston City and other hospitals. Medicine 63:25

    Google Scholar 

  • Alvarez SZ (1998) Hepatobiliary tuberculosis. J Gastroenterol Hepatol 13:833–839

    Article  PubMed  CAS  Google Scholar 

  • American Thoracic Society/American Lung Association (1981) The tuberculin skin test 1981. Am Rev Respir Dis 124:1

    Google Scholar 

  • Anand BS et al (1994) Diagnosis of intestinal tuberculosis by polymerase chain reaction on endoscopic biopsy specimens. Am J Gastroenterol 89:2248

    PubMed  CAS  Google Scholar 

  • Anand SS (1956) Hypertrophie ileocecal tuberculosis in India with record of 50 hemicolectomies. Ann R Coll Surg Engl 19:205–222

    PubMed  CAS  Google Scholar 

  • Balthazar EJ, Gordon R, Hulnick D (1990) Ileocecal tuberculosis: CT and radiologic evaluation. AJR Am J Roentgenol 154:499

    Article  PubMed  CAS  Google Scholar 

  • Barnes PF et al (1991) Tuberculosis in patients with human immunodeficiency virus infection. N Engl J Med 324:1644

    Article  PubMed  CAS  Google Scholar 

  • Bass JB, Sanders RV, Kirkpatrick MB (1985) Choosing an appropriate cutting point for conversion in annual tuberculin skin testing. Am Rev Respir Dis 132:379

    PubMed  CAS  Google Scholar 

  • Batra A et al (2000) Sonographic appearances in abdominal tuberculosis. J Clin Ultrasound 28:233–245

    Article  PubMed  CAS  Google Scholar 

  • Bhansali SK (1977) Abdominal tuberculosis: experience with 300 cases. Am J Gastroenterol 67:324

    Google Scholar 

  • Bhargara DK et al (1992) Peritoneal tuberculosis: laparoscopic palleons and its diagnostic accuracy. Am J Gastroenterol 87:109–112

    Google Scholar 

  • Bhargava DK et al (1984) Cell mediated immune response in intestinal tuberculosis. Ind J Med Res 80:264–269

    CAS  Google Scholar 

  • Bhargava DK et al (1992) Endoscopic diagnosis of segmental colonic tuberculosis. Gastrointest Endosc 38:571

    Article  PubMed  CAS  Google Scholar 

  • Bhasin DK et al (1998) Endoscopic balloon dilation of ileal stricture due to tuberculosis. Endoscopy 30:S44

    PubMed  CAS  Google Scholar 

  • Bloch AB et al (1994) Nation-wide survey of drug-resistant tuberculosis in the United States. JAMA 271:665

    Article  PubMed  CAS  Google Scholar 

  • Bradney K, Dobkin S (1991) Resurgent tuberculosis in New York City: human immunodeficiency virus, homelessness and the dedine of tuberculosis control programs. Am Rev Respir Dis 144:745

    Article  Google Scholar 

  • Bradley S, Reed S, Catanzaro A (1996) Clinical efficacy of the amplified mycobacterium tuberculosis direct test for the diagnosis of pulmonary tuberculosis. Am J Respir Crit Care Med 153:1606

    Article  PubMed  CAS  Google Scholar 

  • Brudney K, Dobkin J (1991) Resurgent tuberculosis in New York City. Am Rev Respir Dis 144:745

    Article  PubMed  CAS  Google Scholar 

  • Buxi TB et al (1992) CT apperances in macronodular hepatosplenic tuberuclosis: a review with five additional new cases. Comput Med Imag Graph 16:381–387

    Article  CAS  Google Scholar 

  • Campos JM et al (1996) Disseminated Bacillus Calmette-Guerin infection in HIV-infected children: case report and review. Pediat AIDS HIV Infect 7:429–432

    CAS  Google Scholar 

  • Candela F et al (1999) Perianal disease of tuberculous origin: report of a case and review of the literature. Dis Colon Rectum 42:110–112

    Article  PubMed  CAS  Google Scholar 

  • Cantwell MF et al (1994) Epidemiology of tuberculosis in the United States. JAMA 272:535

    Google Scholar 

  • Carpentier E et al (1995) Diagnosis of tuberculosis by Amplicor Mycobacterium tuberculosis test: a multicenter study. J Clin Microbiol 33:3106

    PubMed  CAS  Google Scholar 

  • Carr WJ, Kyle RA, Bowie EW (1964) Hematologic changes in tuberculosis. Am J Med Sei 248:709

    Article  Google Scholar 

  • CDC (1990) Outbreak of multidrug-resistant tuberculosis-Texas, California, and Pennsylvania. MMWR Morb Mortal Wkly Rep 39:369

    Google Scholar 

  • CDC (1991) Transmission of multidrug-resistant tuberculosis from an HIV-positive client in a residential substanceabuse treatment facility-Michigan. MMWR Morb Mortal Wkly Rep 40:129

    Google Scholar 

  • Centers for Disease Control and Prevention (1998) Prevention and treatment of tuberculosis among patients infected with human immunodeficiency virus: Principles of therapy and revised recommendations. MMWR Morb Mortal Wkly Rep 47:1

    Google Scholar 

  • Cheng IK, Chan PC, Chan MK (1989) Tuberculous peritonitis complicating long-term peritoneal dialysis: report of 5 cases and review of the literature. Am J Nephrol 9:155

    Article  PubMed  CAS  Google Scholar 

  • Chung CC et al (1997) Anal and perianal tuberculosis: a report of three cases in 10 years. J R Coll Surg Edinb 42:189–190

    PubMed  CAS  Google Scholar 

  • Daley CL et al (1992) An outbreak of tuberculosis with accelerated progression among persons infected with human immunodeficiency virus: an analysis using restrictionfragment-length-polymorphisms. N Engl J Med 326:231

    Article  PubMed  CAS  Google Scholar 

  • Dooley DP, Carpenter JL, Rademachar S Adjunctive corticosteroid therapy for tuberculosis: a critical reappraisal of the literature. Clin Infect Dis 25:872–887

    Google Scholar 

  • Edlin BR et al (1994) An outbreak of multidrug-resistant tuberculosis among hospitalized patients with the acquired immunodeficiency Syndrome. N Engl J Med 330:1710

    Article  Google Scholar 

  • Edwards D, Kirkpatrick CH (1986) The immunology of Mycobacterial diseases. Am Rev Respir Dis 134:1062

    PubMed  CAS  Google Scholar 

  • Eng J, Sabanathan S (1991) Tuberculosis of the esophagus. Dig Dis Sei 36:536–540

    Article  CAS  Google Scholar 

  • Farer LS, Lowell LM, Meador MP (1979) Extrapulmonary tuberculosis in the United States. Am J Epidemiol 109:205

    Google Scholar 

  • Frieder IR et al (1993) The emergence of drug-resistant tuberculosis in New York City. N Engl J Med 328:521

    Article  Google Scholar 

  • Geake TMS et al (1981) Peritoneoscopy in the diagnosis of tuberculous peritonitis. Gastrointest Endosc 27:66–68

    Article  PubMed  CAS  Google Scholar 

  • Goh SH et al (1994) Gastric ulceration with acute bleeding from tuberculosis of the stomach-a case report. Ann Acad Med 23:903–906

    CAS  Google Scholar 

  • Goldberg BB, Goodman GA, Clearfield HR (1970) Evaluation of ascites by ultrasound. Radiology 96:15

    PubMed  CAS  Google Scholar 

  • Gordin FM et al (1996) The impact of human immunodeficiency virus infection on drug-resistant tuberculosis. Am J Respir Crit Care Med 154:1478

    Article  PubMed  CAS  Google Scholar 

  • Ha HK et al (1999) Intestinal tuberculosis with abdominal complications: radiologic and pathologic features. Abdom Imaging 24:32

    Article  PubMed  CAS  Google Scholar 

  • Harland RW, Varkey B (1992) Anal tuberculosis: report of two cases and literature review. Am J Gastroenterol 87: 1488–1491

    PubMed  CAS  Google Scholar 

  • Herman P et al (1995) Nodular form of local hepatic tuberculosis: case report. J Trop Med Hyg 98:141–142

    PubMed  CAS  Google Scholar 

  • Hickey N et al (1999) Acute hepatobiliary tuberculosis: a report of two cases and a review of the literature. Eur Radiol 9:886–889

    Article  PubMed  CAS  Google Scholar 

  • Hillebrand DJ et al (1996) Ascitic fluid adenosine deaminase insensitivity in detecting tuberculous peritonitis. Hepatology 24:1408

    Article  PubMed  CAS  Google Scholar 

  • Hoefs JC (1990) Diagnostic paracentesis: A potent clinical tool. Gastroenterology 98:230

    PubMed  CAS  Google Scholar 

  • Holley HL, Piraino BM (1990) Complications of peritoneal dialysis: Diagnosis and management. Semin Dial 3:245

    Article  Google Scholar 

  • Horvath KD, Whelan RL (1998) Intestinal tuberculosis: return of an old disease. Am J Gastroenterol 93:692

    Article  PubMed  CAS  Google Scholar 

  • Huebner RE, Schein MF, Bass JB (1993) The tuberculin skin test. Clin Infect Dis 17:968

    Article  PubMed  CAS  Google Scholar 

  • Jones B et al (1993) Relationship of the manifestations of tuberculosis to CD4 cell counts in patients with human immunodeficiency virus infection. Am Rev Respir Dis 148:1292

    Article  PubMed  CAS  Google Scholar 

  • Jost KC et al (1995) Identification of Mycobacterium tuberculosis and M. avium complex directly from smear-positive sputum speeimens and BACTEC 12B eultures by high-performance liquid chromatography with fluorescence detection and computer-driven pattern recognition models. J Clin Microbiol 33:1270

    PubMed  Google Scholar 

  • Kaivaria I, Kottier RE, Marks IN (1988) The role of colonoscopy in the diagnosis of tuberculosis. J Clin Gastroenterol 10:516

    Article  Google Scholar 

  • Kapoor VK (1998) Abdominal tuberculosis. Postgrad Med J 74:459

    Article  PubMed  CAS  Google Scholar 

  • Kashima K et al (1995) Detection of anti-cord factor antibodies in intestinal tuberculosis for its differential diagnosis from Crohn’s disease and ulcerative colitis. Dig Dis Sei 40: 2630

    Article  CAS  Google Scholar 

  • Kim KM et al (1998) Intestinal tuberculosis: clinicopathologic analysis and diagnosis by endoscopic biopsy. Am J Gastroenterol 93:606

    Article  PubMed  CAS  Google Scholar 

  • Kochhar R et al (1991) Colonoscopic fine needle aspiration cytology in the diagnosis of ileocecal tuberculosis. Am J Gastroenterol 86:102

    PubMed  CAS  Google Scholar 

  • Lam MF, Tang SC, Lai KN (2000) Tuberculous peritonitis in patients on continuous ambulatory peritoneal dialysis (editorial). Int J Artif Org 23:154

    CAS  Google Scholar 

  • Levine A (1968) Needle biopsy diagnosis of tuberculous peritonitis. Am Rev Respir Dis 97:889–894

    Google Scholar 

  • Lin OS et al (1999) Isolated gastric tuberculosis of the cardia. J Gastroenterol Hepatol 14:258–261

    Article  PubMed  CAS  Google Scholar 

  • Lucas SB (1994) Other viral and infectious diseases and HIV-related liver disease. In: MacSween RNM, Anthony PP, Scheur PJ, Burt AD, Portmenn B (eds) Pathology of the liver, 3rd edn. Churchill Livingstone, Edinburgh, pp 269–316

    Google Scholar 

  • Lui SL et al (1996) Optimal treatment and long-term outcome of tuberculous peritonitis complicating continuous ambulatory peritoneal dialysis. Am J Kidney Dis 28:747

    Article  PubMed  CAS  Google Scholar 

  • Mann CV, Russell RCG, Wilhams NS (1997) Barley and Love’s Short practice of surgery, 22nd edn. Chapman and Hall, pp 708, 728, 772-773, 777, 799

    Google Scholar 

  • Manohar A, Simjee AA, Pettengill KE (1990) Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy and biopsy over a five year period. Gut 31:1130

    Google Scholar 

  • Marinez-Vazquez JM et al (1986) Adenosine deaminase activity in the diagnosis of tuberculous peritonitis. Gut 27:1049

    Article  Google Scholar 

  • Markowitz N et al (1993) Tuberculin and anergy testing in HIV-seropositive and HIV-seronegative persons. Ann Intern Med 119:185

    Article  PubMed  CAS  Google Scholar 

  • Marshall JB (1993) Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 88:989

    PubMed  CAS  Google Scholar 

  • Mauer K, Manzione NC (1988) Usefulness of the serum-ascites albumin gradient in separating transudative from exudative ascites: another look. Dig Dis Sei 33:1208

    Article  CAS  Google Scholar 

  • McKenna MT, McCray E, Onorato I (1995) The epidemiology of tuberculosis among foreign-born persons in the United States, 1986 to 1993. N Engl J Med 332:1071

    Article  PubMed  CAS  Google Scholar 

  • Misra SP et al (1999) Colonic tuberculosis: clinical features, endoscopic appearance and management. J Gastroenterol Hepatol 14:723

    Article  PubMed  CAS  Google Scholar 

  • Nardell E et al (1986) Exogenous reinfection with tuberculosis in a shelter for the homeless. N Engl J Med 315:1570

    Article  PubMed  CAS  Google Scholar 

  • O’Reilly L, Daborn C (1995) The epidemiology of Mycobacterium bovis infections in animals and man: a review. Tuberc Lung Dis 76[Suppl 1]:1

    Article  Google Scholar 

  • Pettersson T, Ojala K, Weber TH (1984) Adenosine deaminase in the diagnosis of pleural effusions. Acta Med Scand 215:299

    Article  PubMed  CAS  Google Scholar 

  • Pfyffer GE et al (1996) Diagnostic Performance of amplified Mycobacterium tuberculosis direct test with cerebrospinal fluid, other non-respiratory, and respiratory speeimens. J Clin Microbiol 34:834

    PubMed  CAS  Google Scholar 

  • Pouchot J et al (1997) Reliability of tuberculin skin test measurement. Ann Intern Med 126:210

    Article  PubMed  CAS  Google Scholar 

  • Pulimood AB et al (1999) Endoscopic mucosal biopsies are useful in distinguishing granulomatous colitis due to Crohn’s disease from tuberculosis. Gut 45:537

    Article  PubMed  CAS  Google Scholar 

  • Quantrill SJ, Archer GJ, Haie RJ (1996) Gastric tuberculosis presenting with massive hematemesis in association with acute myeloid leukemia. Am J Gastroenterol 91:1259–1260

    PubMed  CAS  Google Scholar 

  • Rahmatulla RH et al (2001) Tuberculous liver abscess: a case report and review of literature. Eur J Gastroenterol Hepatol 13:437–440

    Article  PubMed  CAS  Google Scholar 

  • Raskin MM (1976) Some specific radiological findings and consideration of linitis plastica of the gastrointestinal tract. CRC Crit Rev Clin Radiol Nucl Med 8:87–106

    PubMed  CAS  Google Scholar 

  • Rathnaraj S, Singh SK, Verghese M (1997) Gastric tuberculosis presenting with hematemesis. Indian J Gastroenterol 16: 110–111

    PubMed  CAS  Google Scholar 

  • Raviglione MC, O’Brien RJ (2001) Tuberculosis. In: Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL (eds) Harrison’s Principles of internal medicine, 15th edn. McGraw-Hill, New York, pp 1024–1035

    Google Scholar 

  • Rezeiq MA et al (1998) Pancreatic tuberculosis mimicking pancreatic carcinoma: four case reports and review of the literature. Dig Dis Sei 43:329–331

    Article  Google Scholar 

  • Rieh JA et al (1996) Polymerase chain reaction detection of Mycobacterium tuberculosis in formalin-fixed tissue. Am J Respir Crit Care Med 153:1419

    Google Scholar 

  • Runyon BA (1986) Paracentesis of ascitic fluid: a safe procedure. Arch Intern Med 146:2259

    Article  PubMed  CAS  Google Scholar 

  • Runyon BA et al (1992) The serum-ascites albumin gradient is superior to the exudate-transudate coneept in the differential diagnosis of ascites. Ann Intern Med 117:215

    Article  PubMed  CAS  Google Scholar 

  • Runyon BA Ascites and spontaneous bacterial peritonitis. In: Feldman M, Sleisenger MH, Scharschmidt BF (eds) Gastrointestinal and liver disease; pathophysiology, diagnosis and management, 6th edn. Saunders, Philadelphia, pp 1310–1333

    Google Scholar 

  • Schluger NW et al (1994) Clinical Utility of the polymerase chain reaction in the diagnosis of infections due to Mycobacterium tuberculosis. Chest 105:1116

    Google Scholar 

  • Selwyn PA et al (1989) A prospective study of the risk of tuberculosis among intravenous drug users with human immunodeficiency virus infection. N Engl J Med 320:545

    Article  PubMed  CAS  Google Scholar 

  • Shah S et al (1992) Colonoscopic study of 50 patients with colonic tuberculosis. Gut 33:347

    Article  PubMed  CAS  Google Scholar 

  • Shah S et al (1998) Rapid diagnosis of tuberculosis in various biopsy and body fluid speeimens by the AMPLICOR Mycobacterium tuberculosis polymerase chain reaction test. Chest 113:1190

    Article  PubMed  CAS  Google Scholar 

  • Shakil AO et al (1996) Diagnostic features of tuberculous peritonitis and presence of chronic liver disease: a case control study. Am J Med 100:179

    Article  PubMed  CAS  Google Scholar 

  • Shukla AS et al (1982) Peritoneal biopsy for diagnosis of abdominal tuberculosis. Postgrad Med J 58:226–228

    Article  PubMed  CAS  Google Scholar 

  • Simon VA, Haie Y, Taylor A (1993) Identification of Mycobacterium tuberculosis and related organisms by HPLC with fluorescence detection. LCGC-Magazine of Separation Science 11:144

    Google Scholar 

  • Singh MM, Bhargava AN, Jain KP (1969) Tuberculous peritonitis: evaluation of pathogenic mechanisms, diagnostic procedures and therapeutic measures. N Engl J Med 20: 1091–1094

    Article  Google Scholar 

  • Singh V et al (1996) Clinicocolonoscopic profile of colonic tuberculosis. Am J Gastroenterol 91:565

    PubMed  CAS  Google Scholar 

  • Small PM et al (1991) Treatment of tuberculosis in patients with advanced human immunodeficiency virus infection. N Engl J Med 324:289

    Article  PubMed  CAS  Google Scholar 

  • Small PM et al (1993) Exogenous reinfection with multidrugresistant mycobacterium tuberculosis in patients with advanced HIV infection. N Engl J Med 328:1137

    Article  PubMed  CAS  Google Scholar 

  • Small PM et al (1994) The epidemiology of tuberculosis in San Francisco: a population-based study using conventional and molecular methods. N Engl J Med 330:1703

    Article  PubMed  CAS  Google Scholar 

  • Suri S, Gupta S, Suri, R (1999) Computed tomography in abdominal tuberculosis. Br J Radiol 72:92–98

    PubMed  CAS  Google Scholar 

  • Sutton D (1990) A textbook of radiology and imaging. 6th edn. Churchill Livingstone, Edinburgh, p 808

    Book  Google Scholar 

  • Talwani R, Horvath JA (2000) Tuberculous peritonitis in patients undergoing continuous ambulatory peritoneal dialysis and review. Clin Infect Dis 31:70–75

    Article  PubMed  CAS  Google Scholar 

  • Tandon HD,Prakash A (1972) Pathology of intestinal tuberculosis and its distinction from crohn’s disease. Gut 13:260–269

    Article  PubMed  CAS  Google Scholar 

  • Tassios P et al (1995) Tuberculous esophagitis: report of a case and review of modern approaches to diagnosis and treatment. Hepatogastroenterology 42:185–188

    PubMed  CAS  Google Scholar 

  • Tevere VJ et al (1996) Detection of Mycobacterium tuberculosis by PCR amplification with pan-Mycobacterium primers and hybridization to an M tuberculosis-specific probe. J Clin Microbiol 34:918

    PubMed  CAS  Google Scholar 

  • Viaspolder F, Singer P, Roggeveen C (1995) Diagnostic value of an amplification method (Gen-Probe) compared with that of culture for the diagnosis of tuberculosis. J Clin Microbiol 33:2699

    Google Scholar 

  • Wobeser WL et al (1996) Evaluation of röche amplicor PCR assay for Mycobacterium tuberculosis. J Clin Microbiol 34:134

    PubMed  CAS  Google Scholar 

  • World Health Organization (1996) Groups at risk: WHO report on the tuberculosis epidemic. World Health Organization, Geneva

    Google Scholar 

  • Yajko DM et al (1995) Quantitative culture of Mycobacterium tuberculosis from clinical sputum specimens and dilution endpoint of its detection by the AMPLICOR PCR assay. J Clin Microbiol 33:1944

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Medicine — MBC 46, King Faisal Specialist Hospital and Research Centre, P.O. Box 3354, Riyadh, 11211, Saudi Arabia

    Mohammad Sultan Khuroo MD, DM, FRCP (Edin), MACP

  2. Department of Radiology, King Faisal Specialist Hospital and Research Centre, P.O. Box 3354, Riyadh, 11211, Saudi Arabia

    Naira Sultan Khuroo MBBS

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  1. Mohammad Sultan Khuroo MD, DM, FRCP (Edin), MACP
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  2. Naira Sultan Khuroo MBBS
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Editors and Affiliations

  1. Department of Medicine, Armed Forces Hospital, Riyadh, 11159, Saudi Arabia

    M. Monir Madkour

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Khuroo, M.S., Khuroo, N.S. (2004). Abdominal Tuberculosis. In: Madkour, M.M. (eds) Tuberculosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18937-1_37

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