PMID- 38469015
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240313
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 16
IP  - 2
DP  - 2024 Feb
TI  - Multi-Drug-Resistant Tuberculosis Peritonitis: A Case Report.
PG  - e53975
LID - 10.7759/cureus.53975 [doi]
LID - e53975
AB  - The increasing incidence of tuberculosis raises concerns globally, impacting both 
      developing and developed nations. Abdominal tuberculosis stands out as the most 
      prevalent form of extrapulmonary tuberculosis. This case report details the 
      diagnostic journey of a young male with abdominal TB complicated by concurrent 
      HIV infection. The patient presented with night sweats and substantial weight 
      loss, concurrently receiving a naive human immunodeficiency virus (HIV) diagnosis 
      with an undetectable CD4 count. Imaging revealed abdominal 
      lymphadenopathy concealing the pancreatic head while bronchoscopy unveiled TB in 
      the lung. The patient faced septic shock and bilateral pulmonary embolism, 
      possibly due to immune reconstitution inflammatory syndrome (IRIS). The patient 
      then developed ascites, and a diagnosis of TB peritonitis was made based on low 
      serum ascites albumin gradient (SAAG) and a positive acid-fast bacillus (AFB) 
      result in the para-aortic lymph node. Treatment complexity arose from drug 
      resistance to isoniazid and ethambutol.
CI  - Copyright (c) 2024, Verma et al.
FAU - Verma, Rhea
AU  - Verma R
AD  - Medicine, Drexel University College of Medicine, Philadelphia, USA.
FAU - Sonier, Clinton
AU  - Sonier C
AD  - Internal Medicine, WellSpan Health, York, USA.
FAU - Rizvi, Nida
AU  - Rizvi N
AD  - Internal Medicine, WellSpan Health, York, USA.
FAU - Kashyap, Rahul
AU  - Kashyap R
AD  - Medicine, Drexel University College of Medicine, Philadelphia, USA.
AD  - Research, Global Remote Research Program, St Paul, USA.
AD  - Critical Care Medicine, Mayo Clinic, Rochester, USA.
AD  - Research, WellSpan Health, York, USA.
LA  - eng
PT  - Case Reports
DEP - 20240210
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10927249
OTO - NOTNLM
OT  - ascites
OT  - hiv
OT  - iris
OT  - multi-drug resistant
OT  - peritonitis
OT  - tuberculosis
COIS- The authors have declared that no competing interests exist.
EDAT- 2024/03/12 06:42
MHDA- 2024/03/12 06:43
PMCR- 2024/02/10
CRDT- 2024/03/12 03:48
PHST- 2024/02/10 00:00 [accepted]
PHST- 2024/03/12 06:43 [medline]
PHST- 2024/03/12 06:42 [pubmed]
PHST- 2024/03/12 03:48 [entrez]
PHST- 2024/02/10 00:00 [pmc-release]
AID - 10.7759/cureus.53975 [doi]
PST - epublish
SO  - Cureus. 2024 Feb 10;16(2):e53975. doi: 10.7759/cureus.53975. eCollection 2024 
      Feb.