Controversies in classification of peritoneal tuberculosis and a proposal for clinico-radiological classification.

Controversies in classification of peritoneal tuberculosis and a proposal for clinico-radiological classification. Expert Rev Anti Infect Ther. 2019 Jul 11;: Authors: Ahamed Z R, Shah J, Agarwala R, Kumar-M P, Mandavdhare HS, Gupta P, Singh H, Sharma A, Dutta U, Sharma V Abstract Introduction: Peritoneal tuberculosis is a common type of abdominal tuberculosis. The most commonly used classification divides peritoneal tuberculosis into wet-ascitic type, dry-plastic type and fixed fibrotic type. Areas covered: We performed a systematic literature search on the definitions of existing classification of peritoneal tuberculosis. The literature search identified confusion in the classification of peritoneal tuberculosis. The classification system also fails to classify some patterns of peritoneal tuberculosis like abdominal cocoon and a substantial overlap in various categories was found. The impact of the present classification on clinical management is unclear. Lack of prospective studies and presence of heterogeneity in reporting add to the confusion. Expert opinion: We suggest that a uniform system which better classifies peritoneal tuberculosis and helps in clinical management should be used in future studies. We propose a simple, clinico-radiological classification of peritoneal tuberculosis into two types: distension -dominant and or pain-obstruction dominant based on the clinical presentation. This approach will be relevant to clinicians as patients with...
Source: Expert Review of Anti-Infective Therapy - Category: Infectious Diseases Tags: Expert Rev Anti Infect Ther Source Type: research

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Publication date: Available online 19 September 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Tiernan Connor Middleton, Dennis Drehner, Monica Epelman, Tamarah J. Westmoreland, Adela Casas-Melley, Pamela EllsworthAbstractRenal masses in the pediatric population carry a wide differential diagnosis; however, a careful history and physical can often elucidate the source. Infectious, benign, and malignant causes should all be considered in a patient presenting with a renal mass to mitigate risks of treatment options and safely ameliorate the patient's pathology. Pediatric renal masses are rare. Renal malignan...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Abstract Pelvic inflammatory disease (PID) is an infection of the upper genital tract occurring predominantly in sexually active young women. Chlamydia trachomatis and Neisseria gonorrhoeae are common causes; however, other cervical, enteric, bacterial vaginosis-associated, and respiratory pathogens, including Mycobacterium tuberculosis, may be involved. PID can be acute, chronic, or subclinical and is often underdiagnosed. Untreated PID can lead to chronic pelvic pain, infertility, ectopic pregnancy, and intra-abdominal infections. The diagnosis is made primarily on clinical suspicion, and empiric treatment is re...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
CONCLUSION: Abdominal tuberculosis with wide spectrum of presentation, can still be managed with early diagnosis and treatment even in patients with sub acute intestinal obstruction. Weight gain or resolving symptoms were considered early markers of treatment response. Patients with stricture can become asymptomatic with medical treatment alone.RESUMO CONTEXTO: A tuberculose abdominal é um problema crescente no mundo em desenvolvimento. OBJETIVO: O objetivo do estudo foi descrever as apresentações clínicas, o padrão de resistência a fármacos e os desfechos de tratamento da tu...
Source: Arquivos de Gastroenterologia - Category: Gastroenterology Source Type: research
ConclusionSerotonin syndrome should be considered in patients on multiple serotonergic agents on the background of end ‐stage renal disease. Prompt recognition and distinction from lupus activity can significantly impact management decisions.
Source: International Journal of Rheumatic Diseases - Category: Rheumatology Authors: Tags: APLAR GRAND ROUND CASE Source Type: research
We present a case of dissecting aneurysm of ascending aorta in a 15 year-old patient secondary to Takayasu arteritis with concomitant tuberculosis with emphasis on multimodality imaging findings and to illustrate preoperative and postoperative medical management. Anti-tuberculosis therapy, high dose corticosteroids, anti-platelet therapy and beta-blocker were administrated during the initial active phase. Three months after medical therapy initiation, he presented with acute chest pain. We performed an ascending aorta and aortic arch replacement with branched Dacron grafts. Only a handful of similar, but not identical, cas...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Conclusions Tuberculous infection of prosthetic knee joint is a rare but serious complication of total knee replacement surgery. Treatment with antituberculous drugs and surgery in some patients results in favorable outcome.
Source: Infectious Diseases in Clinical Practice - Category: Infectious Diseases Tags: Review Articles Source Type: research
Discussion Transplantation is not a common problem for primary care physicians but when a child’s disease has progressed to end-stage organ failure, transplantation can be the only treatment available. While the primary care provider usually is not involved in the daily management of patients before, during and after transplantation, they can be involved in many areas. These can include providing appropriate primary and acute care, ordering and obtaining necessary medical tests, medications and equipment, assisting with medical insurance, providing medical history and records to consultants, translating medical infor...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Discussion Facial nerve palsy has been known for centuries, but in 1821 unilateral facial nerve paralysis was described by Sir Charles Bell. Bell’s palsy (BP) is a unilateral, acute facial paralysis that is clinically diagnosed after other etiologies have been excluded by appropriate history, physical examination and/or laboratory testing or imaging. Symptoms include abnormal movement of facial nerve. It can be associated with changes in facial sensation, hearing, taste or excessive tearing. The right and left sides are equally affected but bilateral BP is rare (0.3%). Paralysis can be complete or incomplete at prese...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
' Cochrane exists so that healthcare decisions get better. ’ That is the first sentence of our Strategy to 2020 that aims to put Cochrane evidence at the heart of health decision-making all over the world. Here ’s a look back at some key highlights of our work in the first quarter of 2019, from January to March.Cochrane began preparations for its annual flagship event,Cochrane ’s Colloquium in Santiago, Chile 22-25 October, 2019. During this time, many Cochrane contributors submitted abstracts as part of the scientific programme, this year ‘embracing diversity’. We also opened the ca...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
Authors: Sultan AA, Dalton SE, Umpierrez E, Samuel LT, Rose E, Tamer P, Rabin JM, Mont MA Abstract INTRODUCTION: Total hip arthroplasty (THA) is a viable option to restore mobility and relieve pain in patients with severe post-tuberculous arthritis, but has been controversial due to concerns of disease reactivation. Over the past several decades, a number of authors have reported outcomes of THA for tuberculosis (TB) infections. However, there is marked heterogeneity in regard to disease activity, surgical approaches, and the use of chemoprophylaxis in these studies. Areas covered: The purpose of this review was to...
Source: Expert Review of Medical Devices - Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research
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