Title: Een 35-jarige Nepalese man met koorts, kuchhoest en abdominale klachten
Authors: VAN DAMME, V ×
Peetermans, Willy
Vanderschueren, Steven #
Issue Date: 2008
Series Title: Tijdschrift voor geneeskunde vol:64 issue:19 pages:995-997
Abstract: A 35-year-old Nepalese man with fever, dry cough and abdominal complaints
The case of a 35-year-old Nepalese man with fever, malaise, dry cough and abdominal complaints is presented. Clinical examination revealed abdominal distention, painful palpation of the right fossa iliaca, and a supraclavicular adenopathy. Laboratory analysis disclosed increased inflammatory parameters. Abdominal ultrasonography showed the presence of ascites, which had a lymphocytic predominance. CT scan revealed intra-abdominal lymphadenopathies. During his hospital stay the patient developed lymphocytic pleuritis.
Because of the clinical, radiological and laboratory findings, the tentative diagnosis of tuberculosis was put forward. The presence of a lymphocytic-rich ascites fluid as well as the Nepalese origin of the patient constituted the main clinical indications to suspect tuberculosis. After several weeks, positive sputum and faeces cultures confirmed the diagnosis of tuberculosis with pleuropulmonary, glandular, peritoneal and intestinal involvement.
ISSN: 0371-683X
Publication status: published
KU Leuven publication type: AT
Appears in Collections:Laboratory for Clinical Infectious and Inflammatory Disorders
× corresponding author
# (joint) last author

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