Difficulties and mistakes in the diagnosis of abdominal tuberculosis in the practice of the general practitioner

Abstract

The relevance of the research is determined by the growth of cases of abdominal tuberculosis (AT), which is difficult to diagnose. Aim. Identify clinical features and possibilities of timely AT diagnosis. Materials and methods. Medical reports of 116 AT patients. The results of clinical, microbiological, immunological, radiological, endoscopic and morphological studies were analyzed. The results. AT proceeded under the mask of ulcerative colitis and Crohn's disease (26.3%), alcoholic and biliary hepatitis (11.8%), lymphoproliferative and oncological diseases (61.8%), often generalized against the background of HIV-infection. The duration of the diagnostic search for disease verification exceeded 3 months due to incorrect (erroneous) interpretation of intoxication (26.3%) and radiological pattern in the lungs (23.7%), non - application and late application of laparoscopy (39.5%). Conclusion. When diagnosing AT, it is necessary to consider the peculiarities of its clinic and to conduct timely laparoscopy.

Keywords

• abdominal tuberculosis
• clinic
• diagnosis
• tuberculosis in hiv-infected
• lymphadenopathy abdominal