Fatal Disseminated Tuberculous Peritonitis following Spontan
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Case Presentation
A 25-year-old, gravidity 3, parity 1, spontaneous abortion 1, and medical abortion with suction curettage 1, woman referred to our clinic with diffuse abdominal pain of 2-week duration, massive ascites, and prolonged intermittent fever rising up to 40.0°C. She had suffered from a spontaneous abortion of 20-week gestation in another hospital nine days ago. She reported a lack of appetite, dizziness, sweating, and raised temperature persisting for at least 3 weeks. She denied cough or weight loss. On physical examination, she had an abdominal distension that suggested a fluid collection, diffuse tenderness especially in lower abdomen, and unremarkable uterine cervix with positive motion tenderness test. No signs of portal hypertension were present. Transvaginal ultrasound confirmed the presence of ascites and bilateral hydrosalpinx (Figure 1). Her hemoglobin, thrombocyte, C-reactive protein, and white blood count were 7.9?gr/dL, 112000?/mm3, 21.6?mg/L, and 8010??/L with low lymphocyte number, respectively. HIV test, serologies for hepatitis, and cultures of blood and urine were negative.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970332/
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