Abdominal tuberculosis - Experience of a University hospital in Oman

Norman Machado, Christopher S. Grant, Euan Scrimgeour

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: To determine the clinical presentation and assess the usefulness of various diagnostic modalities and outcome of treatment of abdominal tuberculosis (TB). Materials and methods: The files of patients admitted to Sultan Qaboos University Hospital (SQUH) with a diagnosis of abdominal TB from January 91 to December 99 were studied retrospectively and data abstracted. Results: Eighteen patients were diagnosed during this period, of which ten were males. The median age was 27 years (range 5-65). The common symptoms were fever, weight loss, anorexia, and abdominal pain. Abdominal signs were less frequent and included hepatomegaly and ascites. Eight patients had co-existent immunocompromised disorders; two of these had active pulmonary TB. Diagnostic investigations included gastrointestinal contrast studies in two, ultrasound (US) guided fine needle aspiration cytology (FNAC) in nine, and laparoscopy and/or laparotomy in seven. All patients underwent antituberculous therapy for 9-12 months, in addition to the treatment of associated disorders. The response to antituberculous therapy was good except in one patient with HIV. Four patients died from associated primary disorders. Conclusions: The clinical presentation was non-specific and nearly half of the patients had associated immunocompromised disorders; thus a high index of clinical suspicion is required. US guided FNAC and selective laparoscopy were the most useful diagnostic modalities. Antituberculous therapy was effective.

Original languageEnglish
Pages (from-to)187-190
Number of pages4
JournalActa Tropica
Volume80
Issue number2
DOIs
Publication statusPublished - Oct 22 2001

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Keywords

  • Abdominal tuberculosis
  • Immunocompromised disorders
  • Laparoscopy
  • Ultrasonography

ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases

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