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(Chest. 1960;38:42-50.)
© 1960 American College of Chest Physicians

Tuberculous Peritonitis: A Review of 34 Cases with Emphasis on the Diagnostic Aspects

H. JOSEPH HUGHES M.D.1; DAVID T. CARR M.D.2; and JOSEPH E. GERACI M.D., F.C.C.P.2

1 Fellow in Medicine
2 Section of Medicine

Thirty-four cases of tuberculous peritonitis, all with a diagnosis proved by guinea pig inoculation, were encountered at the Mayo Clinic from 1940 through 1958. No one diagnostic sign, symptom, routine laboratory finding or syndrome characterized this type of tuberculous infection. However, in five cases the condition presented as fever of obscure origin and in six as ascites of obscure origin. Laparotomy and to a lesser degree peritoneoscopy with smears, cultures and guinea pig inoculations of the specimens removed provided a rapid and accurate method for certain diagnosis. The results of treatment of this series are outlined, but the therapeutic data of the several regimens used were too meager to justify any definite conclusions.






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