How is abdominal TB diagnosed?
The diagnosis in gastrointestinal tuberculosis and dry peritonitis can be reached by endoscopy. The diagnosis in solid organ lesions can be reached by ultrasound-guided aspiration. The diagnosis in wet peritonitis and lymphadenopathy can be reached by ultrasound-guided aspiration followed by laparoscopy if needed.
What are the symptoms of TB in old age?
Signs and symptoms of active TB include:
- Coughing for three or more weeks.
- Coughing up blood or mucus.
- Chest pain, or pain with breathing or coughing.
- Unintentional weight loss.
- Night sweats.
How is TB peritonitis diagnosed?
Diagnosis is typically via ascitic fluid analysis with SAAG calculation, microbiological tests (mycobacterial culture growth), peritoneal biopsy, laparoscopy, or minilaparotomy.
What are the signs and symptoms of abdominal tuberculosis?
The clinical feature of abdominal tuberculosis is varied. The most common symptoms are pain in the abdomen, loss of weight, anorexia, recurrent diarrhea, low-grade fever, cough, and distension of the abdomen. The doctor on examination may feel a lump, fluid in the abdomen or a doughy feel of the abdomen.
How serious is abdominal tuberculosis?
Abdominal TB leads to severe illness in adults and children, and can cause complications, such as bowel rupture, which can lead to death.
Can TB be cured at old age?
Weaker immune systems make the elderly more susceptible to tuberculosis (TB). However, it is not incurable. The Department of Respiratory & Critical Care Medicine, Singapore General Hospital (SGH) explains. is on the rise, but it is curable if caught early.
Is abdominal tuberculosis contagious?
The commonest route of transmission is usually secondary to ingestion of the infected material along with associated intestinal TB. Hematogenous route of transmission and contiguous spread from adjacent affected abdominal organ can also occur.
How do you get peritoneal tuberculosis?
The risk factors for developing peritoneal TB are HIV infection, cirrhosis, diabetes, malignancy and receiving continuous ambulatory peritoneal dialysis .
What is peritoneal tuberculosis?
Peritoneal tuberculosis is a disease which can mimick malignancy especially in women who present with ascites and elevated CA125 levels. It should always be considered in differential diagnosis, but the diagnosis is rarely easy for clinicians.
Is abdominal TB spread from one person to another?
TB disease in the lungs or throat can be infectious. This means that the bacteria can spread to other people. TB in other parts of the body, such as the kidney or spine, is usually not infectious. People with TB disease are most likely to spread it to people they spend time with every day.
How is tuberculosis (TB) diagnosed in the elderly?
Diagnosis is often made on suspicion, and a probabilistic TB treatment may be started before microbiological confirmation is obtained. Diagnostic difficulties in the elderly are common in many diseases, not solely TB.
What is the treatment for tuberculosis in elderly and senile patients?
Drug treatment of tuberculosis in elderly and senile patients. Treatment of elderly tuberculosis requires adherence to conventional approaches to chemotherapy for tuberculosis. However, most patients fail to fully complete the entire course of standard chemotherapy, and at individual stages of treatment, individualized regimens of therapy,…
What are the signs and symptoms of old tuberculosis?
The features of the old tuberculosis include the following symptoms: in the lungs, along with the signs of tuberculosis, characteristic of a particular chronic form, there is pronounced fibrosis, pneumosclerotic changes, emphysema, bronchiectasis;
Is HIV infection associated with tuberculosis in the elderly?
Tuberculosis in the elderly is not a rare infection and requires special management. If the immunosenescence mainly favors the reactivation of the infection, whether or not aggravated by potential associated treatments (corticosteroids, immunosuppressants, anticancer chemotherapy), the search for HIV infection must be systematic.