[Abdominal tuberculosis: clinical features, diagnosis and role of surgery].
Identifieur interne : 000029 ( PubMed/Curation ); précédent : 000028; suivant : 000030[Abdominal tuberculosis: clinical features, diagnosis and role of surgery].
Auteurs : V. Leone [Italie] ; D. Misuri ; C. Fazio ; S. CardiniSource :
- Minerva chirurgica [ 0026-4733 ] ; 2007.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Peritonitis, Tuberculous, Tuberculosis, Gastrointestinal.
- surgery : Peritonitis, Tuberculous, Tuberculosis, Gastrointestinal.
- Adult, Female, Humans, Male, Middle Aged.
Abstract
Nowadays the incidence of tuberculosis is increasing in some population groups (subjects immigrated from developing countries, affected from HIV infection, or undergoing immunosuppressive therapy) and to the development of multidrug-resistance. The clinical manifestations, routine laboratory and radiographic analyses of abdominal tuberculosis are nonspecific and surgery plays a fundamental role because 25-75% of such patients are operated.
PubMed: 17287691
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pubmed:17287691Le document en format XML
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<author><name sortKey="Leone, V" sort="Leone, V" uniqKey="Leone V" first="V" last="Leone">V. Leone</name>
<affiliation wicri:level="1"><nlm:affiliation>U.O. di Chirurgia Generale, Ospedale S. Maria Nuova, ASL 10, via C. Monteverdi 85/b, 50144 Florence, Italy. vinc_leone@tin.it</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>U.O. di Chirurgia Generale, Ospedale S. Maria Nuova, ASL 10, via C. Monteverdi 85/b, 50144 Florence</wicri:regionArea>
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<author><name sortKey="Misuri, D" sort="Misuri, D" uniqKey="Misuri D" first="D" last="Misuri">D. Misuri</name>
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<author><name sortKey="Fazio, C" sort="Fazio, C" uniqKey="Fazio C" first="C" last="Fazio">C. Fazio</name>
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<author><name sortKey="Cardini, S" sort="Cardini, S" uniqKey="Cardini S" first="S" last="Cardini">S. Cardini</name>
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<author><name sortKey="Leone, V" sort="Leone, V" uniqKey="Leone V" first="V" last="Leone">V. Leone</name>
<affiliation wicri:level="1"><nlm:affiliation>U.O. di Chirurgia Generale, Ospedale S. Maria Nuova, ASL 10, via C. Monteverdi 85/b, 50144 Florence, Italy. vinc_leone@tin.it</nlm:affiliation>
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<author><name sortKey="Misuri, D" sort="Misuri, D" uniqKey="Misuri D" first="D" last="Misuri">D. Misuri</name>
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<author><name sortKey="Fazio, C" sort="Fazio, C" uniqKey="Fazio C" first="C" last="Fazio">C. Fazio</name>
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<author><name sortKey="Cardini, S" sort="Cardini, S" uniqKey="Cardini S" first="S" last="Cardini">S. Cardini</name>
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<series><title level="j">Minerva chirurgica</title>
<idno type="ISSN">0026-4733</idno>
<imprint><date when="2007" type="published">2007</date>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Peritonitis, Tuberculous (diagnosis)</term>
<term>Peritonitis, Tuberculous (surgery)</term>
<term>Tuberculosis, Gastrointestinal (diagnosis)</term>
<term>Tuberculosis, Gastrointestinal (surgery)</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Peritonitis, Tuberculous</term>
<term>Tuberculosis, Gastrointestinal</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Peritonitis, Tuberculous</term>
<term>Tuberculosis, Gastrointestinal</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
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<front><div type="abstract" xml:lang="en">Nowadays the incidence of tuberculosis is increasing in some population groups (subjects immigrated from developing countries, affected from HIV infection, or undergoing immunosuppressive therapy) and to the development of multidrug-resistance. The clinical manifestations, routine laboratory and radiographic analyses of abdominal tuberculosis are nonspecific and surgery plays a fundamental role because 25-75% of such patients are operated.</div>
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<DateCreated><Year>2007</Year>
<Month>02</Month>
<Day>08</Day>
</DateCreated>
<DateCompleted><Year>2007</Year>
<Month>05</Month>
<Day>25</Day>
</DateCompleted>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0026-4733</ISSN>
<JournalIssue CitedMedium="Print"><Volume>62</Volume>
<Issue>1</Issue>
<PubDate><Year>2007</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Minerva chirurgica</Title>
<ISOAbbreviation>Minerva Chir</ISOAbbreviation>
</Journal>
<ArticleTitle>[Abdominal tuberculosis: clinical features, diagnosis and role of surgery].</ArticleTitle>
<Pagination><MedlinePgn>25-31</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">Nowadays the incidence of tuberculosis is increasing in some population groups (subjects immigrated from developing countries, affected from HIV infection, or undergoing immunosuppressive therapy) and to the development of multidrug-resistance. The clinical manifestations, routine laboratory and radiographic analyses of abdominal tuberculosis are nonspecific and surgery plays a fundamental role because 25-75% of such patients are operated.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Six patients, 4 male and 2 female (age 23-62 years) underwent laparotomy or laparoscopy. Five patients were not European, 1 was Italian. The surgical indications were: intestinal occlusion in 3 patients; perforation in 1 patient; peritonitis in 2 patients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The most frequent clinical manifestations were pyrexia, weight loss, anemia, ascites. Chest X-ray was normal in all patients. All patients were found ARB-negative in sputum and in ascitic fluid, while 1 was positive to culture of sputum and 3 of ascitic fluid. In all patients histopathologic examination showed typical findings of tuberculosis.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The surgical indication is made for diagnostic aim or due to the presence of complications. Laparoscopy is the gold standard in the diagnosis,since it allows whole exploration of abdomen and taking of sample for biopsy and ascitic fluid to find micobacterium. In fact, abdominal tuberculosis is a paucibacillar disease and rarely it is possible to demonstrate the direct presence of M. Tuberculosis, but nowadays the methods of the genome amplification allow to demonstrate the sequence of the chromosomial DNA of M. Tuberculosis from small fragments of bioptic material.</AbstractText>
</Abstract>
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<Author ValidYN="Y"><LastName>Fazio</LastName>
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<VernacularTitle>La tubercolosi addominale: aspetti clinico-diagnostici e ruolo della chirurgia.</VernacularTitle>
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<MedlineJournalInfo><Country>Italy</Country>
<MedlineTA>Minerva Chir</MedlineTA>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014395">Peritonitis, Tuberculous</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014385">Tuberculosis, Gastrointestinal</DescriptorName>
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