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  • Title: [Peritoneal tuberculosis in children: report of two cases].
    Author: Blanc P, Perrin I, Barlet L, Talbotec C, Goulet O, Paupe A, Lenclen R, Carbajal R.
    Journal: Arch Pediatr; 2004 Jul; 11(7):822-5. PubMed ID: 15234379.
    Abstract:
    UNLABELLED: Peritoneal tuberculosis is an uncommon presentation of extra-pulmonary tuberculosis in children. It usually presents as ascites, abdominal pain, anorexia and weight loss. CASES REPORT: We report two adolescent patients who presented with ascites, fever, weight loss and abdominal distension. In one case, the diagnosis was late, and confirmed by ascites culture. In the second case, a laparoscopy was performed and showed whitish nodules involving the entire abdominal cavity, compatible with peritoneal tuberculosis, later confirmed bacteriologically. CONCLUSION: Peritoneal tuberculosis presents with nonspecific symptoms. Because laboratory investigations may not be helpful, diagnosis may be difficult. Peritoneal-fluid adenosine deaminase (ADA) determination and coelioscopy seem to be the best way to make a rapid diagnosis.
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