Peritoneal tuberculosis

Fig. 7.11 Peritoneal tuberculosis fever of unknown aetiology in a severe course of disease...

Bhargava, D.K., Shriniwas, Chopra, R, Nijhawan, S., Dasarathy, S., Knshwaha, A.K.S. Peritoneal tuberculosis laparoscopic patterns and its diagnostic accuracy. Amer. J. Gastroenterol. 1992 87 109—112... 

Inflammation of the peritoneum caused by Myco-bacterium tuberculosis can be produced by direct spread from gastrointestinal tuberculosis or after hematogenous dissemination from a pulmonary focus. Involvement of the omentum in peritoneal tuberculosis is diffuse and different to the focal involvement of the omentum in appendicitis or in omental infarction on US or CT. The correct diagnosis is suggested by additional findings such as lymphadenopathy, involvement of the mesentery, bowel wall thickening, or loculated ascites (van Breda Vriesman and Puylaert 2002). 

Kedar RP, Shah PP, Shivde RS, Malde HM (1994) Sonographic findings in gastrointestinal and peritoneal tuberculosis. Clin Radiol 49 24-29... 

It is used to treat sepsis, meningitis, osteomyelitis, peritonitis, pneumonia, pyelonephritis, pyelocystitis, infected wounds, and post-operational, purulent complications that are caused by microorganisms sensitive to this drug. Kanamycin is used to treat tuberculosis of the lungs and other organs upon resistance to other antituberculosis drugs. Synonyms of this drug are karmycin, kamaxin, resistomycin, and many others. 

Septicaemia was a risk faced by mothers during childbirth and could lead to death. Ear infections were common especially in children and could lead to deafness. Pneumonia was a frequent cause of death in hospital wards. Tuberculosis was a major problem, requiring special isolation hospitals built away from populated centres. A simple cut or a wound could lead to severe infection requiring the amputation of a limb, while the threat of peritonitis lowered the success rates of surgical operations. 

Sonography may be used in patients with intestinal tuberculosis to document its classic features, i.e., bowel wall thickening, hyperemia, stricture, and mesenteric lymphadenopathy. When tuberculous peritonitis coexists, sonography shows ascites, omental cake, and thickened mesentery with an adherent small bowel loop thus, ultrasonography maybe used as a primary investigative tool in patients with suspected or recurrent tuberculosis. 

EUman, R, Anderson, K. H. 1948. Calciferol in tuberculous peritonitis with disseminated tuberculosis. Br Med J 1 394. 

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