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Clinical and ultrasonographic features of abdominal tuberculosis in HIV positive adults in Zambia by Edford Sinkala; Sylvia Gray; Isaac Zulu; Victor Mudenda; Lameck Zimba; Sten H Vermund; Francis Drobniewski; Paul Kelly is a Medicine article available to read on EtoBox.

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## Abstract ## Background The diagnosis of abdominal tuberculosis (TB) is difficult, especially so in health care facilities in developing countries where laparoscopy and colonoscopy are rarely available. There is little information on abdominal TB in HIV infection. We estimated the prevalence and clinical features of abdominal (excluding genitourinary) TB in HIV infected adults attending the University Teaching Hospital, Zambia. ## Methods We screened 5,609 medical inpatients, and those with fever, weight loss, and clinical features suggestive of abdominal pathology were evaluated further. A clinical algorithm was used to specify definitive investigations including laparoscopy or colonoscopy, with culture of biopsies and other samples. ## Results Of 140 HIV seropositive patients with these features, 31 patients underwent full evaluation and 22 (71%) had definite or probable abdominal TB. The commonest presenting abdominal features were ascites and persistent tenderness. The commonest ultrasound findings were ascites, para-aortic lymphadenopathy (over 1 cm in size), and hepatomegaly. Abdominal TB was associated with CD4 cell counts over a wide range though 76% had CD4 counts <100 c

Who reads Clinical and ultrasonographic features of abdominal tuberculosis in HIV positive adults in Zambia?

Author

Edford Sinkala; Sylvia Gray; Isaac Zulu; Victor Mudenda; Lameck Zimba; Sten H Vermund; Francis Drobniewski; Paul Kelly

Publisher

BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2001-; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1471-2334)

Published

2009

Language

EN

Field

Medicine (Health Sciences)