D Narayanappa, CR Thirumala
Abdominal tuberculosis, Extrapulmonary tuberculosis, Multidrug resistance tuberculosis, RNTCP, Tubercular peritonitis
Citation Information :
Narayanappa D, Thirumala C. Abdominal Tuberculosis. Pediatr Inf Dis 2019; 1 (1):19-22.
CC BY-NC 4.0
Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.
Abdominal tuberculosis is a common form of extrapulmonary tuberculosis constituting 11% of the cases; Ileocaecal region is the most commonly affected area followed by ascending colon, jejunum, appendix, duodenum, stomach, esophagus, sigmoid colon, and rectum. Diagnosis is a challenge which involves basic work up like computed tomography (CT) scan, esophageal ultrasonography (USG), ascitic fluid adenosine deaminase (ADA) and special investigations like capsule endoscopy, balloon enteroscopy, TB-PCR, GeneXpert, diagnostic laparoscopy are being increasingly used. Standard antitubercular drugs are the first line of treatment, and they are usually highly effective for intestinal TB. Six-months therapy is as effective as 9 months of therapy. Surgery is usually reserved for patients who have developed complications or obstruction not responding to medical management. Multidrug resistance (MDR) has been observed in 13% of MTB isolates in abdominal tuberculosis.
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