The Experts below are selected from a list of 561 Experts worldwide ranked by ideXlab platform
Hiroshi Kakeya - One of the best experts on this subject based on the ideXlab platform.
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clinical usefulness of very high serum soluble interleukin 2 receptor levels for the detection of Tuberculous Peritonitis in a patient with chronic myelogenous leukemia
Journal of Infection and Chemotherapy, 2020Co-Authors: Makoto Moriguchi, Hideo Koh, Tetsuya Hayashi, Hiroshi Okamura, Satoru Nanno, Yasuhiro Nakashima, Takahiko Nakane, Waki Imoto, Koichi Yamada, Hiroshi KakeyaAbstract:Tuberculous Peritonitis is difficult to diagnose due to the disadvantages of ascitic culture and peritoneal biopsy. Although previous reports suggested that very high serum soluble interleukin-2 receptor (sIL-2R) levels may reflect the clinical activity of tuberculosis, little is known about the diagnostic utility of serum sIL-2R for Tuberculous Peritonitis. We describe a case of Tuberculous Peritonitis with chronic myelogenous leukemia. The abnormally high serum sIL-2R value and negative findings for other possible causes including lymphoma suggested Tuberculous Peritonitis and we administered anti-tuberculosis treatment before definitive diagnosis. Abnormally high serum sIL-2R levels may contribute to earlier diagnosis of Tuberculous Peritonitis, along with ruling out other potential differential diagnoses.
Joseph Horvath - One of the best experts on this subject based on the ideXlab platform.
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Tuberculous Peritonitis in patients undergoing continuous ambulatory peritoneal dialysis case report and review
Clinical Infectious Diseases, 2000Co-Authors: Rohit Talwani, Joseph HorvathAbstract:A case of Tuberculous Peritonitis complicating continuous ambulatory peritoneal dialysis (CAPD) in a 37-year-old man who presented with fever, abdominal pain, and a malfunctioning Tenckhoff catheter is reported. The patient was initially treated for presumed bacterial Peritonitis but remained febrile and had persistent abdominal pain and peritoneal fluid pleocytosis, despite broad-spectrum antibiotic therapy. Mycobacterium tuberculosis was isolated in a culture of peritoneal fluid, and the patient responded promptly to antiTuberculous therapy. More than 50 cases of Tuberculous Peritonitis complicating CAPD that have been reported in the English-language literature since the initial case was reported in 1980 are reviewed. The most common symptoms are fever (78%), abdominal pain (92%), and cloudy dialysate (90%); 76% of cases had a predominance of polymorphonuclear cells in peritoneal fluid. A smear for acid-fast bacilli or a culture was positive in 73% of cases. The peritoneal dialysis catheter was removed in 53% of cases, although this was rarely considered necessary for cure of tuberculosis. The attributable mortality rate is 15%, with the most significant factor being treatment delay (mean time from presentation to initiation of treatment, 6.74 weeks). We conclude that tuberculosis is an important diagnostic consideration for CAPD patients with Peritonitis that is refractory to broad-spectrum antibiotics.
Makoto Moriguchi - One of the best experts on this subject based on the ideXlab platform.
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clinical usefulness of very high serum soluble interleukin 2 receptor levels for the detection of Tuberculous Peritonitis in a patient with chronic myelogenous leukemia
Journal of Infection and Chemotherapy, 2020Co-Authors: Makoto Moriguchi, Hideo Koh, Tetsuya Hayashi, Hiroshi Okamura, Satoru Nanno, Yasuhiro Nakashima, Takahiko Nakane, Waki Imoto, Koichi Yamada, Hiroshi KakeyaAbstract:Tuberculous Peritonitis is difficult to diagnose due to the disadvantages of ascitic culture and peritoneal biopsy. Although previous reports suggested that very high serum soluble interleukin-2 receptor (sIL-2R) levels may reflect the clinical activity of tuberculosis, little is known about the diagnostic utility of serum sIL-2R for Tuberculous Peritonitis. We describe a case of Tuberculous Peritonitis with chronic myelogenous leukemia. The abnormally high serum sIL-2R value and negative findings for other possible causes including lymphoma suggested Tuberculous Peritonitis and we administered anti-tuberculosis treatment before definitive diagnosis. Abnormally high serum sIL-2R levels may contribute to earlier diagnosis of Tuberculous Peritonitis, along with ruling out other potential differential diagnoses.
Rohit Talwani - One of the best experts on this subject based on the ideXlab platform.
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Tuberculous Peritonitis in patients undergoing continuous ambulatory peritoneal dialysis: case report and review. Clin Infect Dis 2000;31:70–5
2016Co-Authors: Rohit Talwani, Joseph A. HorvathAbstract:A case of Tuberculous Peritonitis complicating continuous ambulatory peritoneal dialysis (CAPD) in a 37-year-old man who presented with fever, abdominal pain, and a malfunctioning Tenckhoff catheter is reported. The patient was initially treated for presumed bacterial per-itonitis but remained febrile and had persistent abdominal pain and peritoneal ¯uid pleocy-tosis, despite broad-spectrum antibiotic therapy. Mycobacterium tuberculosis was isolated in a culture of peritoneal ¯uid, and the patient responded promptly to antiTuberculous therapy. More than 50 cases of Tuberculous Peritonitis complicating CAPD that have been reported in the English-language literature since the initial case was reported in 1980 are reviewed. The most common symptoms are fever (78%), abdominal pain (92%), and cloudy dialysate (90%); 76 % of cases had a predominance of polymorphonuclear cells in peritoneal ¯uid. A smear for acid-fast bacilli or a culture was positive in 73 % of cases. The peritoneal dialysis catheter was removed in 53 % of cases, although this was rarely considered necessary for cure of tuberculosis. The attributable mortality rate is 15%, with the most signi®cant factor being treatment delay (mean time from presentation to initiation of treatment, 6.74 weeks). We conclude that tu-berculosis is an important diagnostic consideration for CAPD patients with Peritonitis tha
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Tuberculous Peritonitis in patients undergoing continuous ambulatory peritoneal dialysis case report and review
Clinical Infectious Diseases, 2000Co-Authors: Rohit Talwani, Joseph HorvathAbstract:A case of Tuberculous Peritonitis complicating continuous ambulatory peritoneal dialysis (CAPD) in a 37-year-old man who presented with fever, abdominal pain, and a malfunctioning Tenckhoff catheter is reported. The patient was initially treated for presumed bacterial Peritonitis but remained febrile and had persistent abdominal pain and peritoneal fluid pleocytosis, despite broad-spectrum antibiotic therapy. Mycobacterium tuberculosis was isolated in a culture of peritoneal fluid, and the patient responded promptly to antiTuberculous therapy. More than 50 cases of Tuberculous Peritonitis complicating CAPD that have been reported in the English-language literature since the initial case was reported in 1980 are reviewed. The most common symptoms are fever (78%), abdominal pain (92%), and cloudy dialysate (90%); 76% of cases had a predominance of polymorphonuclear cells in peritoneal fluid. A smear for acid-fast bacilli or a culture was positive in 73% of cases. The peritoneal dialysis catheter was removed in 53% of cases, although this was rarely considered necessary for cure of tuberculosis. The attributable mortality rate is 15%, with the most significant factor being treatment delay (mean time from presentation to initiation of treatment, 6.74 weeks). We conclude that tuberculosis is an important diagnostic consideration for CAPD patients with Peritonitis that is refractory to broad-spectrum antibiotics.
Tunjun Tsai - One of the best experts on this subject based on the ideXlab platform.
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fibroadhesive form of Tuberculous Peritonitis chyloperitoneum in a patient undergoing automated peritoneal dialysis
Nephron, 1996Co-Authors: Chinghuai Huang, Huansheng Chen, Yungming Chen, Tunjun TsaiAbstract:Chyloperitoneum is a rare condition in patients undergoing peritoneal dialysis. We report here a patient who developed chylous ascites during the course of Tuberculous Peritonitis. The diagnosis was confirmed by cultures of dialysate and peritoneal biopsy, and laparoscopy revealed severe hyperemia and intestine adhesion. Intrinsic lymphatic obstruction and superimposed peritoneal fibrosis together might be responsible for the pathogenesis of this special presentation. Although in most cases of continuous ambulatory peritoneal dialysis, the causes of chyloperitoneum remained unknown, we suggest, from the experience of this case, that Tuberculous Peritonitis, especially the fibroadhesive form, should be highly suspected in any dialysis cases with chyloperitoneum. Laparoscopy should be initiated early, particularly when the culture is negative for common pathogens or when the patient responds poorly to the usual antimicrobial agents.
