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Article in Japanese
Abstract
Case Report
A case of tuberculous peritonitis with venous thromboem-bolism
Kenji Morimoto Koji Date Hidehiko Kawano
Department of Pulmonary Medicine, Kyoto Chubu Medical Center
ABSTRACT
A 91-year-old man was admitted to our hospital with a complaint of fever and diarrhea for two weeks. Thoracoabdominal contrast-enhanced computed tomography showed moderate ascites and diffuse peritoneal thickening suggestive of peritonitis and venous thromboembolism (VTE) in the trunk of the right pulmonary artery. Because ascitic fluid adenosine deaminase levels were high, we performed a diagnostic laparoscopy and diagnosed tuberculous peritonitis. Treatment with rifampicin, isoniazid, and ethambutol was initiated for tuberculous peritonitis. After discontinuation of the initial heparin, edoxaban was started for the treatment of VTE. The tuberculous peritonitis and VTE improved. We report a rare case of tuberculous peritonitis complicated by VTE.
KEYWORDS
Tuberculous peritonitis Venous thromboembolism (VTE) Edoxaban Rifampicin
Received 1 Apr 2018 ／ Accepted 3 Jul 2018
AJRS, 7(5): 321-324, 2018
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