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TuberculousAbdomen
腹部结核
Circumferentialulcerationischaracteristicofintestinaltuberculosis.
EpidemiologyofGITBExtrapulmonaryTBrepresented28.2%ofallreportedTBcases.GastrointestinalTBwasthe2ndmostcommontypeofTB.
ExtrapulmonaryTB:difficulttodiagnose??SeveralformsofextrapulmonaryTBlackanyofthelocalizingsymptomsorsigns.CutaneousanergytoPPDwasnotedin35-50%ofpatients.NoclinicalorradiologicalevidenceofpulmonaryTBcouldbefoundinuptoone3rdofthesepatients.
IntroductionTBcaninvolveanypartofGITfrommouthtoanus,peritoneumpancreatobiliarysystem.Variedpresentations.
PREVALENCEIsolatedabdominaltuberculosis:Unselectedautopsyseries-0.02-5.1%HigherprevalenceinfemalesDespiteincreasedPulTBinmalesSecondarytoPul.TB
HIVTBBeforeeraofHIVinfection80%TBconfinedtolungExtrapulmonaryTBincreaseswithHIV40–60%TBinHIV+pt-extrapulmonary
Incidence?severityof
abdominalTBwillincreasewith
theHIVepidemic
PathogenesisMechanismsbywhichM.tuberculosisreachtheGIT:HematogenousspreadfromprimarylungfocusIngestionofbacilliinsputumfromactivepulmonaryfocus.Directspreadfromadjacentorgans.VialymphchannelsfrominfectedLN
RobertKoch,aGermanScientistwhofoundoutthecausativeorganismandrevealedhisinventionin1882
Gramnegativebacillus–Mycobacteriumtuberculosis
Tuberculousabdomenisaconditioninwhichthereistuberculousinfectionoftheperitoneumorotherorgansintheabdomen
TuberculousperitonitisAcutetuberculousperitonitisChronictuberculousperitonitis
AcutetuberculousperitonitisAcuteabdomenwithseverepainAcuteinflammationoftheperitoneumStrawcolouredfluidTuberclesinthegreateromentumandperitoneumTuberclesmaycasseateAntituberculoustreatment
ChronictuberculousperitonitisTheconditionpresentswithabdominalpainFeverLossofweightA
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