1009. Peritoneal Tuberculosis
Session: Poster Abstract Session: Enteric Infection
Friday, October 9, 2015
Room: Poster Hall
Posters
  • P 1009.pdf (52.3 kB)
  • Background: The peritoneal tuberculosis (PT) is an endemic disease in the developing countries where its prevalence is on the rise. The ultimate aim of this study was to determine the epidemiological, clinical, therapeutic and evolution characteristics of PT.

    Methods: A retrospective study was conducted including all the patients hospitalized for PT in the Department of Infectious Diseases from 1995 to 2013.

    Results: A total of 46 patients (13%) with PT were enrolled among 332 patients with extra-pulmonary tuberculosis. Thirty five patients (76. %) were of female sex. The mean age was 33.7 ± 15 years. Thirty three patients (71.7%) were from a rural region. The analysis of the risk factors revealed that 3 patients (6.5%) were diabetics, 10 patients (21.7%) consumed raw milk, 8 patients (17.4%) were in contact with animals and 4 patients (8.7%) had a history of tuberculosis. Thirty six patients (78.3%) had fever > 38°C. The diagnostic was made by histopathology in 38 patients (82.6%). The Koch's Bacillus culture from ascitic fluid was positive in 6 patients (13%). The PT was associated to various localizations of tuberculosis : Cervical lymph node in 10 cases (21.7%), bone shape in 3 cases (6.5%), urogenital in 9 cases (19.6%) and neuromeningitis in 3 cases (6.5%). The average duration of the treatment was 13 ± 4 months. Steroids was used in 12 patients (26.1%). The evolution was marked by the occurrence of healing in 40 patients (87%), relapse in 4 patients (8.7%) and death in 2 patients (4.3%).

    Conclusion: The PT is a serious and common form of extra-pulmonary tuberculosis. Its microbiological diagnostic is commonly difficult and requires specialized resources. Therefore, a quick and appropriate care is recommended at an early stage in order to avoid complicated forms and improve the prognosis.

    Houda Ben Ayed, MD1, Makram Koubaa, MD1, Ahmed Guirat, MD2, Sana Kammoun, MD3, Chakib Marrakchi, MD1, Asma Tlijani, MD1, Emna Elleuch, MD1, Imed Maaloul, MD1, Rafik Mzali, MD2, Feriel Akrout, MD3 and Mounir Ben Jemaa, MD1, (1)Department of Infectious Diseases, Hedi Chaker University Hospital, Sfax, Tunisia, (2)Department of Surgery, Habib Bourguiba University Hospital, Sfax, Tunisia, (3)Laboratory of Hygiene, Hedi Chaker University Hospital, Sfax, Tunisia

    Disclosures:

    H. Ben Ayed, None

    M. Koubaa, None

    A. Guirat, None

    S. Kammoun, None

    C. Marrakchi, None

    A. Tlijani, None

    E. Elleuch, None

    I. Maaloul, None

    R. Mzali, None

    F. Akrout, None

    M. Ben Jemaa, None

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