Paediatrics Clinical Case: A Rare Case of Abdominal Koch’s

Abdominal tuberculosis should be considered in any child presenting with persistent fever, pain abdomen & weight loss. Share your views on this case presented by Dr. Jagadeesh Menon Follow us for more such updates!

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DrJagadeesh Menon ,nicely investigated case of abdominal Koch’s in paedriatic patient presenting with persistent fever pain abdomen weight loss & ascitis, by demonstration of acid fast bacillus AFB In ascitic fluid , in biopsy and FNAC , Montoux, BMFT , Bariun anema, ultrasound and CT abdomen, virtual colonoscopy& seridignosis of 10 year boy with fever since two months ,with abdominal distension and pain since 15 days Treating with ATT 12 months(9+ 3) Rifampicin. INH, Pyrazinamide,&Ethambutol With spontaneous recovery manifesting after one week I congratulate you diagnosing after excluding differential diagnosis and nicely treating the patient

Congrats -please promote prevention by BCG MANDATORY FOR ALL NEWNORN & CHILDREN
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Nicely complied and comprehensive observations covering all aspects of peritoneal tuberculosis causing ascites. Fever , anorexia ,wt loss abdominal pain with distension Suspect in favour of tuberculosis. So many are there devlop resistance to ATT. Nicely managed case with good results. Thanks for sharing.

Thanks Dr Pooja Laharia
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Very nice case of peritoneal Tuberculosis causing ascites Nicely managed Now a days, there is high incidence of drug resistant tuberculosis in patients having Tuberculosis for the first time If we were to do tuberculosis culture and sensitivity in the sample, as a community we will be better off in treating cases of Tuberculosis

Aptly pointed out Sir. But In case of GI T.B, majority patients have a paucibacillary disease hence could be difficult to isolate the organism. So we have to do a meticulous evaluation to obtain tissue samples as ,much as possible to isolate the organism.
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Nice information.. Nice presentation.. Clinical case paediatric.. Rare case of koch's.. Nice introduction... Case history.. Chain of events patients.. Physical examination.. Investigation... CT abdominal.. Confirm diagnosis.. Treatment... Nice information uploaded...

Thanks doctor
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NICE ILLUSTRATION WE HAVE PULMONARY TUBERCULOSIS EXTRA PULMONARY TUNNBERCULOSIS THAT IS TB SPINE BONES TUBERCULOMA TB SPINE TB KIDNEY TB INTESTINES MILIATRY TUBERCULOSIS OF CHORIOD

Very much needed and well explained Koch's abdomen in 10 years old boy . Abdominal pain ,mild fever and Diarrhoea . Thanks for sharing with us Sir .

Short and concise. Nicely presented although in abdominal tuberculosis, as in this case also, no definit tool of investigation for pin point diagnosis is present. However, almost at all the times one has to use the experience also. Thank you Doctor.

Very useful information with nice presentation ..... Thank you for sharing the case.....

Thank you @Dr. Ashok Leel Sir...
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Nice presentation by Dr.J.Menon on a rare case of Abdominal Koch's (Paediatrics Clinical case):- Proper investigations & diagnosis & ATT in right time will save the life of this 10 yrs old child. Post is significant & noticeable.

Thanks
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