最近の結核性腹膜炎

概要

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The incidence of tuberculous peritonitis has been decreasing owing to advance ofantituberculous chemotherapy. It is, however, still one of the diseases which we shouldtake into account in differential diagnosis. We have experienced two cases of tuberculous peritonitis; 25 years old male with 'serous, type' who had ascites, and 25 years old female with 'adhesive type' who presentedabdominal pain and vomiting.<BR>In addition to these two cases, six cases of tuberculous peritonitis admitted to Keio Univ. Hospital during last 10 years were discussed. The eight cases composed of five malesand three females with three cases of serous type, three of adhesive type and two ofintermediate type.<BR>Lesions of other organs, such as lung, lymphnodes or intestinal tract, were detected inall cases. This may suggest that tuberculous peritonitis is secondary lesion from othertuberculous lesions. Therefore, early diagnosis and treatment of primary lesions may beessential for prevention of tuberculous peritonitis.
一般社団法人日本結核病学会の論文