Primary TB is considered a latent infection, and accordingly, tuberculous pleurisy and peritonitis in this patient may have resulted from reactivation of a latent pulmonary infection. Tuberculous peritonitis and pleurisy accompanied by pulmonary cryptococcosis: A case report Although the infectious diseases tuberculosis (TB) and cryptococcosis both cause formation of single or multiple nodules in immunodeficient hosts, cases of co-infection of these diseases are rarely seen. In women presenting with an abdominal mass and ascites, the first diagnosis to consider is ovarian cancer. Sheet-like calcification was more common in patients with benign calcification (seven of eight patients) than in those with malignant calcification (two of nine patients, p < 0.05). ultrasound detection of septations, loculations, or echo- It is considered to develop as a result of hematogenous genic material in the ascitic fluid. TB peritonitis is uncommon in children, with some reports showing that 5% of total diagnoses were made in patients under the age of 14 years . TB or Not TB: Crohn's Disease, Peritoneal Tuberculosis, or Both? This review is based on a presentation given by Angela Levy and adapted for the Radiology Assistant by Robin Smithuis. Symptoms may include severe pain, swelling of the abdomen, fever, or weight loss. In the abdominal cavity it can involve other systems: genitourinary, gastrointestinal and omental/peritoneum. in Physics Journal Club ... (p < .01). However, because peritonitis is common in GI TB, abdominal CT may be performed as a preferred examination, which nearly always suggests the diagnosis in the presence of necrotic lymph nodes or changes suggestive of TB peritonitis. TB peritonitis in the pediatric patient is a rare, potentially fatal, extrapulmonary manifestation of M tuberculosis infection, most often presenting with fever, abdominal pain, and distention. Sonographic findings in tuberculous peritonitis of wet-ascitic type. ... (TB), which occurs in fewer than 4% of all TB patients.'" Radiological findings, clinical symptoms and laboratory results of TB peritonitis and carcinomatosis are similar. Two companion cases demonstrate typical CT findings of an uncommon disease entity and highlight the importance of imaging in arriving at a prompt and accurate diagnosis. Tuberculosis is a multi-system disorder. 3. Pulmonary manifestations of tuberculosis are varied and depend in part whether the infection is primary or post-primary. Takase et al. Patients with alcoholism, cirrhosis, renal failure, diabetes mellitus, malignancy, intravenous drug abuse, steroid therapy, and AIDS are at high risk for tuberculous peritonitis. Patients with AIDS, immigrants from areas where TB is endemic, Native Americans on reservations, the urban poor, and the elderly are at particular risk ( 4 , 5 ). 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