Unformatted text preview: Peritoneal TB: may mimic ovarian cancer, or carcinomatous peritonitis, with numerous peritoneal implants; may occur in “wet” or “dry” forms (with or without ascites); diagnosis may be missed in alcoholics. Very low yield of peritoneal fluid AFB stains, diagnosis usually made by biopsy of implants. Meningeal TB: subacute onset of fever and headache in adults; lymphocytic pleocytosis in CSF; basilar meningitis with cranial nerve palsies. TB in the CNS may also present as a ring-enhancing cerebral mass lesion (“tuberculoma”). Vertebral TB (Pott’s disease of the spine): usually affects thoracic spine, perhaps because of lymphatic drainage from chest; associated with large paravertebral “cold” abscess, which may track along the psoas muscle. May result in severe spinal deformity (as in the poet Alexander Pope)....
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- Fall '10
- Anatomy, pulmonary TB, extrapulmonary tb