علاج السل البريتواني مع ADA السائل الاستسقائي >30 وحدة/لتر عندما لا يكون تنظير البطن متاحاً أو ممكناً

References

In patients with a high index of suspicion of peritoneal tuberculosis and ADA > 30 IU, antituberculosis treatment can be started.

When laparoscopy is not available or not affordable, and if patients are inoperable, ascitic ADA testing can be crucial for making a quick diagnosis of peritoneal tuberculosis and starting empirical anti-tuberculosis drugs.

Empirical antituberculous drug treatment for 2–3 months may be considered appropriate in countries with a high prevalence of abdominal TB and if the clinical features are compatible — i.e., the clinical, radiographic, and endoscopic data are consistent with the diagnosis of abdominal TB and if other common diseases such as cancer, nonspecific inflammatory bowel disease, and other specific infections can be adequately ruled out.