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We report a case of a patient without tuberculosis risk factors who presented with 4 years of intermittent fevers, several weeks of increasing abdominal distention, and newly discovered elevated liver tests. The diagnosis of peritoneal tuberculosis was confirmed following an extensive workup with a positive ascitic fluid culture for Mycobacterium tuberculosis. The patient\u2019s fevers resolved with antibiotic therapy, and antibiotic therapy was subsequently de-escalated based on the susceptibility profile.<\/jats:p>","DOI":"10.1177\/23247096221142278","type":"journal-article","created":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T07:39:24Z","timestamp":1670485164000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Peculiar Peritoneum: A Case of Tuberculosis in a Male Without Known Risk Factors"],"prefix":"10.1177","volume":"10","author":[{"given":"Joshua","family":"Wynne","sequence":"first","affiliation":[{"name":"Montefiore Medical Center Department of Internal Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberline","family":"Chew","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center Department of Internal Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Kothari","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center Department of Internal Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxwell","family":"Bressman","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center Department of Internal Medicine, Bronx, NY, USA"},{"name":"Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Tow","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine, Bronx, NY, USA"},{"name":"Montefiore Medical Center Division of Hepatology, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"key":"bibr1-23247096221142278","unstructured":"Centers for Disease Control and Prevention. 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