ArticleWorld journal of gastroenterology2006
Diagnostic dilemma of abdominal tuberculosis in non-HIV patients: an ongoing challenge for physicians.
Article in World journal of gastroenterology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.
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Who cites it
52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 177 citations in OpenAlex.
- Frequency, outcomes, and need for intervention in stricturing gastrointestinal tuberculosis: a systematic review and meta-analysis.BMC gastroenterology · 2023Pooled it
- Six-month therapy for abdominal tuberculosis.The Cochrane database of systematic reviews · 2016Pooled it
- Gastrointestinal tuberculosis: A systematic review of epidemiology, presentation, diagnosis and treatment.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationPooled it
- Prospective randomized trial of six-month versus nine-month therapy for intestinal tuberculosis.Antimicrobial agents and chemotherapy · 2009Trial
- Article
- A rare case of upper gastrointestinal hemorrhage due to tuberculous lymphadenitis fistulized in the duodenum.International journal of emergency medicine · 2025Article
- Prevalence and short-term outcomes of acute complications of tuberculosis: a cross-sectional, monocentre, Italian study.BMC infectious diseases · 2025Article
- Intestinal tuberculosis-the challenging mimicker-in a young Sudanese patient: A case report.Clinical case reports · 2022Article
- Article
- Management of abdominal tuberculosis in a community-based hospital in a high-income developing country.World journal of emergency surgery : WJES · 2021Article
- Abdominal tuberculosis in Ecuador, a problem that is still not solved.Journal of clinical tuberculosis and other mycobacterial diseases · 2020Article
- Article
- A Neglected Case of Colonic Tuberculosis With Thoracolumbar Enterocutaneous Fecal Fistulae.Journal of medical cases · 2020Article
- Isolated gastric varices secondary to abdominal tuberculosis mimicking lymphoma: a case report.BMC gastroenterology · 2019Article
- Abdominal tuberculosis in Indians: Still very pertinent.Journal of clinical tuberculosis and other mycobacterial diseases · 2019Article
- Intra-abdominal lymphatic tuberculosis as a rare case of small intestine volvulus.SAGE open medical case reports · 2019Article
- Diagnosis of abdominal tuberculosis: lessons learned over 30 years: pectoral assay.World journal of emergency surgery : WJES · 2019Review
- Clinical features and outcomes of abdominal tuberculosis in southeastern Korea: 12 years of experience.BMC infectious diseases · 2018Article
- Abdominal tuberculosis: Is there a role for surgery?World journal of gastrointestinal surgery · 2017Review
- Gastric outlet obstruction: an unusual case of primary duodenal tuberculosis.BMJ case reports · 2017Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo assess the clinical features, yield of the diagnostic tests and outcome of abdominal tuberculosis in non-HIV patients.
methodsAdult patients with discharge diagnosis of abdominal tuberculosis (based upon; positive microbiology, histo-pathology, imaging or response to trial of anti TB drugs) during the period 1999 to 2004 were analyzed. Patient's characteristics, laboratory investigations, radiological, endoscopic and surgical findings were evaluated. Abdominal site involved (intestinal, peritoneal, visceral, and nodal) and response to treatment was also noted.
resultsThere were 209 patients enrolled. One hundred and twenty-three (59%) were females. Symptoms were abdominal pain 194 (93%), fever 134 (64%), night sweats 99 (48%), weight loss 98 (47%), vomiting 75 (36%), ascites 74 (35%), constipation 64 (31%), and diarrhea 25 (12%). Sub-acute and acute intestinal obstruction was seen in 28 (13%) and 12 (11%) respectively. Radiological evidence of pulmonary tuberculosis was found in 134 (64%) patients. Basis of diagnosis of abdominal tuberculosis were radiology (Chest and barium X-Rays, Ultrasound and CT scan abdomen) in 111 (53%) and histo-pathology (tissue obtained during surgery, colonoscopy, CT or ultrasound guided biopsy, laparoscopy and upper gastro intestinal endoscopy) in 87 (42%) patients. Mycobacterium culture was positive in 6/87 (7%) patients and response to therapeutic trial of anti tubercular drugs was the basis of diagnosis in 5 (2.3%) patients. Predominant site of involvement by abdominal TB was intestinal in 103 (49%) patients, peritoneal in 87 (42%) patients, solid viscera in 10 (5%) and nodal in 9 (4%) patients. Response to medical treatment was found in 158 (76%) patients and additionally 35 (17%) patients also underwent surgery. In a 425 +/- 120 d follow-up period 12 patients died (eight post operative) and no case of relapse was noted.
conclusionAbdominal TB has diverse and non- specific symptomatology. No single test is adequate for diagnosis of abdominal tuberculosis in all patients. Abdominal TB in non-HIV patients remains an ongoing diagnostic dilemma requiring a high index of clinical suspicion.
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