Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient
Tuberculosis (TB) remained as one of the top 10 causes of death worldwide despite an overall decline in its incidence rate globally. Extrapulmonary TB is uncommon and only accounts for 10–20% of overall TB disease burden. Abdominopelvic TB is the sixth most common location of extrapulmonary TB. The...
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| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/9016782 |
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| author | Beng Kwang Ng Kembang Aziah Yakob Wendy Yin Ling Ng Pei Shan Lim Rahana Abd Rahman Abdul Kadir Abdul Karim Ani Amelia Zainuddin Zaleha Abdullah Mahdy |
| author_facet | Beng Kwang Ng Kembang Aziah Yakob Wendy Yin Ling Ng Pei Shan Lim Rahana Abd Rahman Abdul Kadir Abdul Karim Ani Amelia Zainuddin Zaleha Abdullah Mahdy |
| author_sort | Beng Kwang Ng |
| collection | DOAJ |
| description | Tuberculosis (TB) remained as one of the top 10 causes of death worldwide despite an overall decline in its incidence rate globally. Extrapulmonary TB is uncommon and only accounts for 10–20% of overall TB disease burden. Abdominopelvic TB is the sixth most common location of extrapulmonary TB. The symptoms and signs are often insidious and nonspecific. Diagnosing abdominopelvic TB can be very challenging at times and poses great difficulties to the clinician. Infection with nontuberculous Mycobacterium (NTM) is even rarer especially in an immunocompetent patient. We report a case of NTM in abdominopelvic TB. A 37-year-old foreign worker, para 3, presented with a one-week history of suprapubic pain associated with fever. An assessment showed presence of a right adnexal mass. She was treated as tuboovarian abscess with intravenous antibiotics. Unfortunately, she did not respond. She underwent exploratory laparotomy. Intraoperatively, features of the mass were suggestive of a right mature cystic teratoma with presence of slough and cheesy materials all over the abdominal cavity as well as presence of ascites. Diagnosis of NTM was confirmed with PCR testing using the peritoneal fluid. This case was a diagnostic dilemma due to the nonspecific clinical presentation. Management of such rare infection was revisited. |
| format | Article |
| id | doaj-art-d55232404ff4498d98151b4991156e4b |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-d55232404ff4498d98151b4991156e4b2025-02-03T01:10:09ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/90167829016782Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent PatientBeng Kwang Ng0Kembang Aziah Yakob1Wendy Yin Ling Ng2Pei Shan Lim3Rahana Abd Rahman4Abdul Kadir Abdul Karim5Ani Amelia Zainuddin6Zaleha Abdullah Mahdy7Department of Obstetrics and Gynaecology, UKM Medical Centre, Kuala Lumpur, MalaysiaDepartment of Obstetrics and Gynaecology, UKM Medical Centre, Kuala Lumpur, MalaysiaDepartment of Radiology, Hospital Kuala Lumpur, Kuala Lumpur, MalaysiaDepartment of Obstetrics and Gynaecology, UKM Medical Centre, Kuala Lumpur, MalaysiaDepartment of Obstetrics and Gynaecology, UKM Medical Centre, Kuala Lumpur, MalaysiaDepartment of Obstetrics and Gynaecology, UKM Medical Centre, Kuala Lumpur, MalaysiaDepartment of Obstetrics and Gynaecology, UKM Medical Centre, Kuala Lumpur, MalaysiaDepartment of Obstetrics and Gynaecology, UKM Medical Centre, Kuala Lumpur, MalaysiaTuberculosis (TB) remained as one of the top 10 causes of death worldwide despite an overall decline in its incidence rate globally. Extrapulmonary TB is uncommon and only accounts for 10–20% of overall TB disease burden. Abdominopelvic TB is the sixth most common location of extrapulmonary TB. The symptoms and signs are often insidious and nonspecific. Diagnosing abdominopelvic TB can be very challenging at times and poses great difficulties to the clinician. Infection with nontuberculous Mycobacterium (NTM) is even rarer especially in an immunocompetent patient. We report a case of NTM in abdominopelvic TB. A 37-year-old foreign worker, para 3, presented with a one-week history of suprapubic pain associated with fever. An assessment showed presence of a right adnexal mass. She was treated as tuboovarian abscess with intravenous antibiotics. Unfortunately, she did not respond. She underwent exploratory laparotomy. Intraoperatively, features of the mass were suggestive of a right mature cystic teratoma with presence of slough and cheesy materials all over the abdominal cavity as well as presence of ascites. Diagnosis of NTM was confirmed with PCR testing using the peritoneal fluid. This case was a diagnostic dilemma due to the nonspecific clinical presentation. Management of such rare infection was revisited.http://dx.doi.org/10.1155/2017/9016782 |
| spellingShingle | Beng Kwang Ng Kembang Aziah Yakob Wendy Yin Ling Ng Pei Shan Lim Rahana Abd Rahman Abdul Kadir Abdul Karim Ani Amelia Zainuddin Zaleha Abdullah Mahdy Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient Case Reports in Medicine |
| title | Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient |
| title_full | Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient |
| title_fullStr | Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient |
| title_full_unstemmed | Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient |
| title_short | Abdominopelvic Tuberculosis Secondary to a Nontuberculous Mycobacterium in an Immunocompetent Patient |
| title_sort | abdominopelvic tuberculosis secondary to a nontuberculous mycobacterium in an immunocompetent patient |
| url | http://dx.doi.org/10.1155/2017/9016782 |
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