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00004. Peritoneal Tuberculosis: Modern Peril for an Ancient Disease

Semaan Kosseifi, MD, Giendra Hoskere, MD, Thomas M. Roy, MD, Ryland P. Byrd Jr., MD,
and Jay Mehta, MD

Abstract: Extrapulmonary manifestations of Mycobacterium tuberculosis (MTB) in general, and tuberculous peritonitis (TBP) in particular,
have posed complex diagnostic challenges for centuries. Peritoneal tuberculosis is a very rare manifestation of MTB with subtle clinical findings 
that may result in a significant diagnostic delay, often of more than four months. As the incidence of tuberculosis is declining in developed nations, 
clinicians may overlook the need to establish an early diagnosis and prompt therapy for this disorder. We present a case of peritoneal tuberculosis 
and a review of the literature.

Key Words: Mycobacterium tuberculosis, peritonitis, tuberculous chemotherapy

Special thanks for Éric Béliveau, who have given the full  version of this paper.