{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:40:04Z","timestamp":1756327204023,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,3]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>\n                  <jats:italic>Mycobacterium tuberculosis<\/jats:italic>is highly endemic in the Philippines. The diagnosis is challenging with its non-specific presentation and the organism could extend to any of the organs. Interestingly, bacterial peritonitis arising spontaneously from gastrointestinal tuberculosis (TB) in an otherwise healthy, non-cirrhotic patient is quite unusual. In this paper, we discuss the case of a 27-year-old HIV-seronegative woman with massive intraperitoneal mixed bacterial and tuberculous abscess presenting 20 months after being diagnosed with bacteriologically confirmed gastrointestinal TB. Repeated large-volume paracentesis was done to drain out the infected ascites instead of inserting a percutaneously implanted catheter. Clinical improvement was noted and she was discharged after 12 days of intravenous antibiotics. She had completed 6 months of antituberculosis therapy and been well since then. The case has demonstrated that repeated paracentesis along with appropriate antibiotic regimen, may be a viable option for patients with TB and bacterial coinfected peritonitis. And possibly, peritoneal TB may increase the risk for (spontaneous) bacterial peritonitis.<\/jats:p>","DOI":"10.1136\/bcr-2019-230794","type":"journal-article","created":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T13:54:14Z","timestamp":1566827654000},"page":"e230794","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Massive infected ascites in an immunocompetent patient with gastrointestinal tuberculosis"],"prefix":"10.1136","volume":"12","author":[{"given":"Carmegie C","family":"Saliba","sequence":"first","affiliation":[{"name":"Department of Medicine, University of the Philippines Manila, Manila, Metro Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle Dominique Villegas","family":"Tomacruz","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of the Philippines Manila, Manila, Metro Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Louise Margaret M","family":"Javier","sequence":"additional","affiliation":[{"name":"College of Medicine, University of the Philippines Manila, Manila, Metro Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Homer","family":"Co","sequence":"additional","affiliation":[{"name":"Section of Adult Medicine, Department of Medicine, University of the Philippines Manila, Manila, Metro Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,8,26]]},"reference":[{"key":"2025082713121351000_12.8.e230794.1","unstructured":"Kanabus A . Information about tuberculosis. GHE 2018;1 www.tbfacts.org."},{"key":"2025082713121351000_12.8.e230794.2","doi-asserted-by":"crossref","first-page":"14831","DOI":"10.3748\/wjg.v20.i40.14831","article-title":"Abdominal tuberculosis of the gastrointestinal tract: revisited","volume":"20","author":"Debi","year":"2014","journal-title":"World J Gastroenterol"},{"key":"2025082713121351000_12.8.e230794.3","doi-asserted-by":"crossref","first-page":"174","DOI":"10.4240\/wjgs.v9.i8.174","article-title":"Abdominal tuberculosis: is there a role for surgery?","volume":"9","author":"Weledji","year":"2017","journal-title":"World J Gastrointest Surg"},{"key":"2025082713121351000_12.8.e230794.4","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1016\/j.celrep.2016.06.080","article-title":"Microfold cells actively translocate Mycobacterium tuberculosis to initiate infection","volume":"16","author":"Nair","year":"2016","journal-title":"Cell Rep"},{"key":"2025082713121351000_12.8.e230794.5","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00096-15"},{"key":"2025082713121351000_12.8.e230794.6","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2006.056168"},{"key":"2025082713121351000_12.8.e230794.7","doi-asserted-by":"crossref","first-page":"852","DOI":"10.3109\/00365540903214264","article-title":"Tuberculous peritonitis in cirrhotic patients: comparison of spontaneous bacterial peritonitis caused by Escherichia coli with tuberculous peritonitis","volume":"41","author":"Kim","year":"2009","journal-title":"Scand J Infect Dis"},{"key":"2025082713121351000_12.8.e230794.8","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/S0929-6646(09)60052-8","article-title":"Abdominal tuberculosis in southeastern Taiwan: 20 years of experience","volume":"108","author":"Chen","year":"2009","journal-title":"J Formos Med Assoc"},{"key":"2025082713121351000_12.8.e230794.9","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.dld.2011.08.020","article-title":"Tuberculous peritonitis: analysis of 211 cases in Taiwan","volume":"44","author":"Yeh","year":"2012","journal-title":"Dig Liver Dis"},{"key":"2025082713121351000_12.8.e230794.10","unstructured":"Philippine Coalition Against Tuberculosis. Clinical Practice Guidelines for the Diagnosis, Treatment, Prevention and Control of Tuberculosis in Adult Filipinos: 2016 Update, 2016."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-230794","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:12:18Z","timestamp":1756325538000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-230794"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8]]},"references-count":10,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2019,8,26]]},"published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1136\/bcr-2019-230794"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-230794","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,8]]}}}