Measurement of Adenosine Deaminase in Ascitic Fluid Contributed to the Diagnosis in a Case of Tuberculous Peritonitis

A diagnosis of tuberculous peritonitis (TBP) is difficult because of nonspecific manifestation and limited effectiveness of conventional diagnostic tools. Recently, the usability of measurement of ascitic adenosine deaminase (ADA) was shown. We report here a case of TBP in which measurement of ascit...

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Main Authors:	Kenichi Kishimoto, Tsuyoshi Mishiro, Hironobu Mikami, Noritsugu Yamashita, Kazushi Hara, Wataru Hamamoto, Yuumi Cho, Yukihiro Ikuta, Makoto Nagasaki, Yoshikazu Kinoshita
Format:	Article
Language:	English
Published:	Karger Publishers 2019-07-01
Series:	Case Reports in Gastroenterology
Subjects:	Tuberculous peritonitis Ascites Adenosine deaminase
Online Access:	https://www.karger.com/Article/FullText/501066

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spelling	doaj-eca271ab14734e48a80ca28db297d58d2020-11-25T01:29:36ZengKarger PublishersCase Reports in Gastroenterology1662-06312019-07-0113229930410.1159/000501066501066Measurement of Adenosine Deaminase in Ascitic Fluid Contributed to the Diagnosis in a Case of Tuberculous PeritonitisKenichi KishimotoTsuyoshi MishiroHironobu MikamiNoritsugu YamashitaKazushi HaraWataru HamamotoYuumi ChoYukihiro IkutaMakoto NagasakiYoshikazu KinoshitaA diagnosis of tuberculous peritonitis (TBP) is difficult because of nonspecific manifestation and limited effectiveness of conventional diagnostic tools. Recently, the usability of measurement of ascitic adenosine deaminase (ADA) was shown. We report here a case of TBP in which measurement of ascitic ADA contributed to the diagnosis. A 93-year-old male developed a large amount of ascites. Analyses of the ascitic fluid revealed exudation, though antibiotics treatment was ineffective. Using paracentesis, the ADA level in the ascites was measured and shown to be high. Under suspicion of TBP, an exploratory laparoscopy was performed and a definitive diagnosis of TBP was made.https://www.karger.com/Article/FullText/501066Tuberculous peritonitisAscitesAdenosine deaminase
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Kenichi Kishimoto Tsuyoshi Mishiro Hironobu Mikami Noritsugu Yamashita Kazushi Hara Wataru Hamamoto Yuumi Cho Yukihiro Ikuta Makoto Nagasaki Yoshikazu Kinoshita
spellingShingle	Kenichi Kishimoto Tsuyoshi Mishiro Hironobu Mikami Noritsugu Yamashita Kazushi Hara Wataru Hamamoto Yuumi Cho Yukihiro Ikuta Makoto Nagasaki Yoshikazu Kinoshita Measurement of Adenosine Deaminase in Ascitic Fluid Contributed to the Diagnosis in a Case of Tuberculous Peritonitis Case Reports in Gastroenterology Tuberculous peritonitis Ascites Adenosine deaminase
author_facet	Kenichi Kishimoto Tsuyoshi Mishiro Hironobu Mikami Noritsugu Yamashita Kazushi Hara Wataru Hamamoto Yuumi Cho Yukihiro Ikuta Makoto Nagasaki Yoshikazu Kinoshita
author_sort	Kenichi Kishimoto
title	Measurement of Adenosine Deaminase in Ascitic Fluid Contributed to the Diagnosis in a Case of Tuberculous Peritonitis
title_short	Measurement of Adenosine Deaminase in Ascitic Fluid Contributed to the Diagnosis in a Case of Tuberculous Peritonitis
title_full	Measurement of Adenosine Deaminase in Ascitic Fluid Contributed to the Diagnosis in a Case of Tuberculous Peritonitis
title_fullStr	Measurement of Adenosine Deaminase in Ascitic Fluid Contributed to the Diagnosis in a Case of Tuberculous Peritonitis
title_full_unstemmed	Measurement of Adenosine Deaminase in Ascitic Fluid Contributed to the Diagnosis in a Case of Tuberculous Peritonitis
title_sort	measurement of adenosine deaminase in ascitic fluid contributed to the diagnosis in a case of tuberculous peritonitis
publisher	Karger Publishers
series	Case Reports in Gastroenterology
issn	1662-0631
publishDate	2019-07-01
description	A diagnosis of tuberculous peritonitis (TBP) is difficult because of nonspecific manifestation and limited effectiveness of conventional diagnostic tools. Recently, the usability of measurement of ascitic adenosine deaminase (ADA) was shown. We report here a case of TBP in which measurement of ascitic ADA contributed to the diagnosis. A 93-year-old male developed a large amount of ascites. Analyses of the ascitic fluid revealed exudation, though antibiotics treatment was ineffective. Using paracentesis, the ADA level in the ascites was measured and shown to be high. Under suspicion of TBP, an exploratory laparoscopy was performed and a definitive diagnosis of TBP was made.
topic	Tuberculous peritonitis Ascites Adenosine deaminase
url	https://www.karger.com/Article/FullText/501066
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Measurement of Adenosine Deaminase in Ascitic Fluid Contributed to the Diagnosis in a Case of Tuberculous Peritonitis

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