TY - JOUR
T1 - A case of a young woman with tuberculous peritonitis diagnosed owing to high value of ADA
AU - Rai, Kanmei
AU - Kurimoto, Etuko
AU - Kusano, Nobuchika
AU - Koide, Norio
AU - Nishii, Kenji
N1 - Copyright:
This record is sourced from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
PY - 2004/10
Y1 - 2004/10
N2 - A 26-year-old woman visited the first hospital due to ascites in August 2003, She had continual abdominal pain diagnosed as Irritable bowel disease after a gastrointestinal and colon fiberscopy was performed. Chest-abdominal CT scan revealed normal chest, massive ascites and swollen ovary. To rule out malignancy, surgical biopsy was performed, which brought no significant findings. We focused on the high value of Adenosin deaminase (ADA) in ascites and strongly suspected tuberculotic peritonitis. Consequently, pathologist confirmed the existence of bacterial bodies stained by acid-fast stain after our consultation. Compared with the poor diagnostic accuracy of surgical biopsy, the value of ADA in ascites has a very high sensitivity and specificity. Considering the high risk of being infertile, to begin diagnostic medication of tuberculotic peritonitis is an acceptable choice for young women with a high value of ADA in the ascites.
AB - A 26-year-old woman visited the first hospital due to ascites in August 2003, She had continual abdominal pain diagnosed as Irritable bowel disease after a gastrointestinal and colon fiberscopy was performed. Chest-abdominal CT scan revealed normal chest, massive ascites and swollen ovary. To rule out malignancy, surgical biopsy was performed, which brought no significant findings. We focused on the high value of Adenosin deaminase (ADA) in ascites and strongly suspected tuberculotic peritonitis. Consequently, pathologist confirmed the existence of bacterial bodies stained by acid-fast stain after our consultation. Compared with the poor diagnostic accuracy of surgical biopsy, the value of ADA in ascites has a very high sensitivity and specificity. Considering the high risk of being infertile, to begin diagnostic medication of tuberculotic peritonitis is an acceptable choice for young women with a high value of ADA in the ascites.
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U2 - 10.11150/kansenshogakuzasshi1970.78.916
DO - 10.11150/kansenshogakuzasshi1970.78.916
M3 - Article
C2 - 15560383
AN - SCOPUS:16544392904
SN - 0387-5911
VL - 78
SP - 916
EP - 922
JO - Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases
JF - Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases
IS - 10
ER -