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BMC Infect Dis. 2018 Dec 27;18(1):699. doi: 10.1186/s12879-018-3635-2.

Clinical features and outcomes of abdominal tuberculosis in southeastern Korea: 12 years of experience.

Cho JK1, Choi YM2, Lee SS3,4,5, Park HK6, Cha RR2,6, Kim WS2,6, Kim JJ2,6, Lee JM2,7,6, Kim HJ2,7, Ha CY2,7, Kim HJ2,7,6, Kim TH2,7, Jung WT2,7, Lee OJ2,7.

Author information

1
Department of Surgery, Gyeongsang National University Hospital, 15, Jinju-daero 816 beon-gil, Jinju-si, 52727, Gyeongnam, Republic of Korea.
2
Department of Internal Medicine, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, 15, Jinju-daero 816 beon-gil, Jinju-si, Gyeongnam, 52727, Republic of Korea.
3
Department of Internal Medicine, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, 15, Jinju-daero 816 beon-gil, Jinju-si, Gyeongnam, 52727, Republic of Korea. 3939lee@naver.com.
4
Institute of Health Sciences, Gyeongsang National University, Jinju, Republic of Korea. 3939lee@naver.com.
5
Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea. 3939lee@naver.com.
6
Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea.
7
Institute of Health Sciences, Gyeongsang National University, Jinju, Republic of Korea.

Abstract

BACKGROUND:

Abdominal tuberculosis (TB) is an uncommon form of infection with Mycobacterium tuberculosis in Korea. In this study, we aimed to highlight the clinical features, diagnostic methods, and outcomes of abdominal TB over 12 years in Southeastern Korea.

METHODS:

A total of 139 patients diagnosed as having abdominal TB who received anti-TB medication from January 2005 to June 2016 were reviewed. Among them, 69 patients (49.6%) had luminal TB, 28 (20.1%) had peritoneal TB, 7 (5.0%) had nodal TB, 23 (16.5%) had visceral TB, and 12 (8.6%) had mixed TB.

RESULTS:

The most frequent symptoms were abdominal pain (34.5%) and abdominal distension (21.0%). Diagnosis of abdominal TB was confirmed using microbiologic and/or histologic methods in 76 patients (confirmed diagnosis), while the remaining 63 patients were diagnosed based on clinical presentation and radiologic imaging (clinical diagnosis). According to diagnostic method, frequency of clinical diagnosis was highest in patients with luminal (50.7%) or peritoneal (64.3%) TB, while frequency of microscopic diagnosis was highest in patients with visceral TB (68.2%), and frequency of histologic diagnosis was highest in patients with nodal TB (85.2%). Interestingly, most patients, except those with nodal TB, showed a good response to anti-TB agents, with 84.2% showing a complete response. The mortality rate was only 1.4% in the present study.

CONCLUSIONS:

Most patients responded very well to anti-TB therapy, and surgery was required in only a minority of cases of suspected abdominal TB.

KEYWORDS:

Abdomen; Extra-pulmonary; Luminal; Peritoneal; Tuberculosis

PMID:
30587154
PMCID:
PMC6307147
DOI:
10.1186/s12879-018-3635-2
[Indexed for MEDLINE]
Free PMC Article

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