Document Detail

Abdominal tuberculosis in a children's hospital in Addis Ababa.
MedLine Citation:
PMID:  10214439     Owner:  NLM     Status:  MEDLINE    
A review of the clinical records of all patients with the diagnosis of abdominal tuberculosis, admitted to the Ethio-Swedish Children's Hospital (ESCH), Addis Ababa, Ethiopia, over a ten year period was made. There were 57 patients that fulfilled the inclusion criteria, accounting for 0.22% of all admissions. Both sexes were nearly equally affected. In more than a quarter of the patients (30%), the diagnosis of tuberculosis was not considered at admission. Fever, weight loss, night sweating and abdominal pain were common presenting symptoms. The role of positive Mantoux and elevated erythrocyte sedimentation rate (ESR) as an aid to diagnosis were limited. The number of admitted patients with abdominal tuberculosis at ESCH is much lower than what has been reported from other African countries. The findings of the present study clearly indicate the need for a high index of clinical suspicion. Laparoscopic and peritoneal biopsy should be included in the diagnostic work up of patients suspected of having abdominal tuberculosis.
D Mersha
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ethiopian medical journal     Volume:  35     ISSN:  0014-1755     ISO Abbreviation:  Ethiop. Med. J.     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1999-05-06     Completed Date:  1999-05-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373223     Medline TA:  Ethiop Med J     Country:  ETHIOPIA    
Other Details:
Languages:  eng     Pagination:  251-6     Citation Subset:  IM    
Department of Paediatrics and Child Health, Faculty of Medicine, Addis Ababa University.
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MeSH Terms
Blood Sedimentation
Child, Preschool
Hospitals, Pediatric
Hospitals, Urban
Retrospective Studies
Tuberculin Test
Tuberculosis, Gastrointestinal / blood,  complications,  diagnosis*,  surgery

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