The authors present a case of tuberculosis peritonitis in the setting of alcoholic cirrhosis with ascites. A young American Indian male with alcoholic cirrhosis and ascites presented with low grade fever and weight loss. A diagnosis of tuberculosis peritonitis was made with laparoscopic guided peritoneal biopsy. He was treated successfully with isoniazid and ethambutol for 24 months. The diagnosis of tuberculosis peritonitis should be entertained in high risk populations such as American Indians, Asians, alcoholics, chronic ambulatory peritoneal dialysis patients, and AIDS patients in the appropriate clinical setting. Definitive diagnosis can usually be made by laparoscopic guided peritoneal biopsy.
South Dakota Journal of Medicine
Ganga UR. Schafer L. Tuberculosis peritonitis: a case report and literature review. South Dakota Journal of Medicine 45(10):287-9. 1992