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. 2019 Nov 15;91(11):16-19.
doi: 10.26442/00403660.2019.11.000374.

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

[Article in Russian]
L N Savonenkova  1 , V I Ruzov  1 , D V Kolchin  1 , O L Arjamkina  2 , V V Skvortsov  3 , A A Bessonov  3
Affiliations

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

[Article in Russian]
L N Savonenkova et al. Ter Arkh. .

Abstract
in English, Russian

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.

Актуальность исследования обусловлена ростом случаев сложного для диагностики абдоминального туберкулеза (АТ). Цель. Выявить клинические особенности и возможности своевременной диагностики АТ. Материалы и методы. Медицинские карты 116 больных АТ. Оценивали результаты клинических, микробиологических, иммунологических, лучевых, эндоскопических, морфологических исследований. Результаты. АТ протекал под маской язвенного колита и болезни Крона (26,3%), алкогольного и билиарного гепатита (11,8%), лимфопролиферативных и онкологических заболеваний (61,8%), часто генерализованно на фоне ВИЧ-инфекции. Продолжительность диагностического поиска по верификации заболевания превышала 3 месяца вследствие неправильной (ошибочной) интерпретации интоксикации (26,3%) и рентгенологической картины в легких (23,7%), неприменения и позднего применения лапароскопии (39,5%). Заключение. При диагностике АТ необходимы учет особенностей его клиники и своевременное проведение лапароскопии.

Keywords: abdominal tuberculosis; clinic; diagnosis; lymphadenopathy abdominal; tuberculosis in HIV-infected.

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