Abstract Ref Number = APCP1214
A CASE SERIES OF ABDOMINAL TUBERCULOSIS
Novi Handayani,Aulia Fitri Swity,Handris Yanitra
Department of Child Health Tarakan Hospital Jakarta Department of Child Health, Tarakan Hospital, Jakarta
Background : The diagnosis of abdominal tuberculosis is often delayed, thus increasing the morbidity of this treatable condition. Many cases go unrecognized until a surgically removed specimen is examined histopathologically, particularly when active pulmonary disease is absent.
Case Presentation Summary : 1. A 15-years-old girl, weighing 58 kg, came with a chief complaint of recurrent abdominal pain. The other clues were one month fever, normal defecation pattern, and her mother was on treatment for her abdominal tuberculosis. Patient looked pale, all over abdomen tenderness were found in physical examination. From her abdominal USG examination, right mesenteric lymphadenopathy was found. 2. A 16-years-old boy came with a chief complaint of four months of diarrhea, 3-4 times/day, weight loss, pale, nauseous, all over abdominal pain. Severely malnourished, pale, all over abdominal tenderness were found in the physical examination. Laboratory findings were Hb 7.4, Leukocyte 7636, Albumin 2g/dL, Na+ 128 meq/L, IGRA +, HIV -. Abdominal USG were done and multiple lymphadenopathy paraaorta abdominalis and right parailliaca were found. 3. A 15-years-old girl came with a complaint of abdominal pain, history of taking anti tuberculosis drugs 1 month prior. She was severely malnourished, all over abdominal tenderness, looked pale. Multiple mesenteric lymphadenopathy and fluid collection in cavum douglasi were found in her abdominal USG. 4. A 14-years-old boy came with complaints of being nauseous, frequent vomiting, diarrhea, lower right quadrant abdominal pain, history of being admitted to hospital because of pleural effusion. Severely malnourished, looked pale, and tenderness in Mc Burney were found in this patient. Laboratory findings were Hb 8.4, Na+ 125, K+ 2.1, Albumin 2.6. Ascites was found in his abdominal USG, but his appendix was difficult to identify. This patient was taking anti tuberculosis drugs (RHZE)
Learning Points/Discussion : Abdominal Tuberculosis is difficult to determine just by its symptoms. >From 4 cases above, we can agree that all cases have a similar complaints of abdominal pain mimicking appendicitis. Clinical improvement were met if the patients were adequately treated with anti tuberculosis drugs.
Keywords: tubeculous peritonitis abdominal tuberculosis anti tuberculosis drugs