Abdominal tuberculosis--a study of 25 cases.

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dc.contributor.authorSharma, Y Ren_US
dc.contributor.authorRoy, P Ken_US
dc.contributor.authorHasan, Men_US
dc.date.accessioned2009-05-28T04:13:27Z
dc.date.available2009-05-28T04:13:27Z
dc.date.issued2004-04-12en_US
dc.descriptionKathmandu University Medical Journal.en_US
dc.description.abstractAbdominal tuberculosis is one of the common extra pulmonary tubercular infections. Its clinical presentation is protean and it has diagnostic dilemma, as most of the investigations are non-specific and less sensitive. Therefore this study was undertaken to define the most suggestive clinical features of abdominal tuberculosis, to find out the efficacy of most commonly available investigations and also to evaluate the response of abdominal tuberculosis to conventional antitubercular therapy. Twenty five cases of either sex were studied in department of gastroenterology in BSMMU (earlier IPGMR), Dhaka from January 2001 to June 2003. All patients were clinically evaluated and were investigated by available tests. Eighteen patients were diagnosed by investigations (One by detecting AFB, 9 with caseating granuloma in biopsy specimen and 8 with suggestive radiological findings). Diagnosis of 7 patients were made from the common clinical features (fever, weight loss, altered bowel habit, abdominal pain and distension, positive non-specific findings and from response by antitubercular therapy. All patients received conventional 9 month anti-tubercular treatment with Rifampicin, Isoniazide and Pyrazinamide and were followed up clinically during and one year after completion of treatment. All patients were improved with minimum side effects of drug. Therefore, it is observed that a representative tissue biopsy (when approachable) and radiological findings are good method of diagnosis of abdominal tuberculosis. Strongly suggestive clinical features with positive non specific investigation findings are also an indication for anti tubercular treatment in all endemic countries like Nepal, Bangladesh and India. Treatment of abdominal tuberculosis is in no way different from that of other conventional anti-TB therapy.en_US
dc.description.affiliationDepartment of Medicine, Kathmandu University Medical School, Nepal. yuraj@info.comen_US
dc.identifier.citationSharma YR, Roy PK, Hasan M. Abdominal tuberculosis--a study of 25 cases. Kathmandu University Medical Journal. 2004 Apr-Jun; 2(2): 137-41en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/46623
dc.language.isoengen_US
dc.source.urihttps://www.kumj.com.npen_US
dc.source.urihttps://kumj.com.np/ftp/issue/6/137_141.pdfen_US
dc.subject.meshAdulten_US
dc.subject.meshAntitubercular Agents --therapeutic useen_US
dc.subject.meshBangladeshen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPeritonitis, Tuberculous --diagnosisen_US
dc.subject.meshTuberculosis, Gastrointestinal --diagnosisen_US
dc.titleAbdominal tuberculosis--a study of 25 cases.en_US
dc.typeJournal Articleen_US
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