Peritoneal tuberculosis as a complication in a case of unclassifiable myelodysplastic/myeloproliferative disease].

T Martín Santos, L Morabito, J M Raya Sánchez, M M Alonso Socas, B González González, M T Hernández García, L Hernández Nieto

Servicio de Hematología y Hemoterapia, Hospital Universitario de Canarias, La Laguna, Tenerife. taidamar@hotmail.com

Anales de medicina interna (Madrid, Spain : 1984) 2008 Jun

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We report the case of a 68-year-old male with a diagnosis of unclassifiable myelodysplatic/myeloproliferative disease (WHO classification), under prolonged steroid treatment and unsuccesful chemotherapy response, who developed progressive asthenia, thoracic pain, minimal efforts dyspnea, and abdominal distension, that initially was suspicious of splenic rupture. Exploratory laparotomy showed multiple peritoneal implants, and a diagnosis of peritoneal tuberculosis was obtained from local biopsy. Definitive diagnosis included a positive result to culture and PCR urine test, together with a possible pleural and splenic tuberculous affectation. Response to tuberculostatic treatment was successful. To the best of our knowledge, this is the first reported case with such characteristics.

Citation

T Martín Santos, L Morabito, J M Raya Sánchez, M M Alonso Socas, B González González, M T Hernández García, L Hernández Nieto. Peritoneal tuberculosis as a complication in a case of unclassifiable myelodysplastic/myeloproliferative disease]. Anales de medicina interna (Madrid, Spain : 1984). 2008 Jun;25(6):287-90