European Journal of Pediatric Surgery Reports (Jan 2018)

Peritoneal Tuberculosis in Infants: Diagnostic Challenges

  • Ndeye Aby Ndoye,
  • Papa Alassane Mbaye,
  • Jacques Noel Tendeng,
  • Lissoune Cissé,
  • Mamadou Lamine Diao,
  • Mactar Dieng,
  • Doudou Gueye,
  • Dibor Niang,
  • Oumar Ndour,
  • Gabriel Ngom

DOI
https://doi.org/10.1055/s-0038-1675406
Journal volume & issue
Vol. 06, no. 01
pp. e87 – e89

Abstract

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Abdominal tuberculosis is rare in immunocompetent infants. We report on two infants with peritoneal tuberculosis (6 and 8 months) who underwent laparotomy for suspected intussusception. In the first patient, characteristic lesions of peritoneal tuberculosis were observed intraoperatively with presence of multiple granulations. Tuberculin intradermal reaction (IDRt) was positive and tuberculous contagium could be cultured. In the second patient, the IDRt and GeneXpert tests were negative. In both patients, the histopathological examination of the biopsy specimens confirmed the diagnosis of peritoneal tuberculosis. The clinical courses under tuberculostatic therapy were favorable in both cases.

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