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  • Title: [Adenosine deaminase activity in peritoneal tuberculosis].
    Author: Sapunar J, Sapunar J, Velásco C, Poniachik J, Paredes R.
    Journal: Rev Med Chil; 1989 Dec; 117(12):1363-6. PubMed ID: 2519374.
    Abstract:
    We performed a prospective study including cytochemical, bacteriologic and pathologic observations in 25 patients with ascites of different causes. Activity of adenosine deaminase in ascitic fluid was higher in tuberculous (103 +/- 61 mu/l) than in neoplastic (16 +/- 8), inflammatory (16 +/- 13) and portal hypertension (15 +/- 6) etiologies (p less than 0.05). Inflammatory cases included patients with lupus and spontaneous peritonitis. Activity of adenosine deaminase was higher in every patient with tuberculosis than in any other patient. Thus, a high sensitivity and specificity of this test in the diagnosis of tuberculous peritonitis is confirmed.
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