{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:10:35Z","timestamp":1783469435270,"version":"3.55.0"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Tuberculosis (TB) is a serious infection that can involve any organ system and present in various forms. About one-third of the world\u2019s population are carriers of latent TB. Although most cases are from a pulmonary origin, there is a rising prevalence of abdominal TB. Patients with pulmonary or extrapulmonary TB are treated similarly through the use of pharmacological therapy. Nonspecific clinical manifestations of TB have made it difficult for clinicians to diagnose. Peritoneal tuberculosis (PTB) is a serious concern as its symptoms overlap with that of many other chronic conditions, especially in those who are immunocompromised. The lack of highly sensitive and specific testing methods has made early intervention difficult, therefore a high index of suspicion is crucial in the progression of the disease. Here, we present a case of a 71-year-old female with a history of abdominal pain, fever, and weakness. Initial investigation with computed tomography (CT) imaging revealed omental fat stranding that pointed towards peritoneal carcinomatosis (PC) from possible recurrence of her ovarian cancer. Further investigation with a peritoneal biopsy was remarkable for caseating granulomas with fat necrosis confirming extrapulmonary TB. This report highlights a rare case of PTB mimicking PC in an elderly patient who is immunocompromised from the use of long-term corticosteroids who continued to decline after pharmacological treatment of the disease.<\/jats:p>","DOI":"10.1186\/s12879-024-10028-5","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T14:01:57Z","timestamp":1728568917000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A rare case of peritoneal tuberculosis mimicking peritoneal carcinomatosis: the ongoing challenge"],"prefix":"10.1186","volume":"24","author":[{"given":"Roberto M.","family":"Flores","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meena","family":"Dopp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek V.","family":"Bhatt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassam","family":"Theodory","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul M.","family":"Robb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"issue":"2","key":"10028_CR1","doi-asserted-by":"publisher","first-page":"140","DOI":"10.14218\/JCTH.2018.00062","volume":"7","author":"DC Wu","year":"2019","unstructured":"Wu DC, Averbukh LD, Wu GY. Diagnostic and therapeutic strategies for peritoneal tuberculosis: a review. J Clin Transl Hepatol. 2019;7(2):140\u20138. https:\/\/doi.org\/10.14218\/JCTH.2018.00062. Epub 2019 May 13. PMID: 31293914; PMCID: PMC6609850.","journal-title":"J Clin Transl Hepatol"},{"issue":"11","key":"10028_CR2","doi-asserted-by":"publisher","first-page":"1298","DOI":"10.1177\/106002809603001115","volume":"30","author":"JR Cisneros","year":"1996","unstructured":"Cisneros JR, Kim M, Murray. Corticosteroids Tuberculosis Annals Pharmacotherapy. 1996;30(11):1298\u2013303.","journal-title":"Corticosteroids Tuberculosis Annals Pharmacotherapy"},{"key":"10028_CR3","doi-asserted-by":"publisher","unstructured":"Heather M, Peto RH, Pratt TA, Harrington PA, LoBue, Lori R, Armstrong. Epidemiology of Extrapulmonary Tuberculosis in the United States, 1993\u20132006, Clinical Infectious Diseases. 49(9);2009:1350\u20131357. https:\/\/doi.org\/10.1086\/605559","DOI":"10.1086\/605559"},{"issue":"4","key":"10028_CR4","first-page":"426","volume":"30","author":"H Ozan","year":"2009","unstructured":"Ozan H, \u00d6zerkan K, Orhan A. Peritoneal tuberculosis mimicking peritoneal carcinomatosis. Eur J Gynaecol Oncol. 2009;30(4):426\u201330.","journal-title":"Eur J Gynaecol Oncol"},{"issue":"11","key":"10028_CR5","doi-asserted-by":"publisher","first-page":"e31464","DOI":"10.7759\/cureus.31464","volume":"14","author":"AE Hessen","year":"2022","unstructured":"Hessen AE, Saleem T, Hani S, Chadli RH, Makarem FZ. Peritoneal tuberculosis mimicking peritoneal carcinomatosis in an Immunocompetent patient. Cureus. 2022;14(11):e31464. https:\/\/doi.org\/10.7759\/cureus.31464. PMID: 36532905; PMCID: PMC9750246.","journal-title":"Cureus"},{"issue":"4","key":"10028_CR6","first-page":"305","volume":"120","author":"MP Sharma","year":"2004","unstructured":"Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res. 2004;120(4):305\u201315. PMID: 15520484.","journal-title":"Indian J Med Res"},{"key":"10028_CR7","doi-asserted-by":"publisher","unstructured":"Guirat A, Koubaa M, Mzali R, Abid B, Ellouz S, Affes N, Ben Jemaa M, Frikha F, Ben Amar M, Beyrouti MI. Peritoneal tuberculosis. Clin Res Hepatol Gastroenterol. 2011;35(1):60\u20139. https:\/\/doi.org\/10.1016\/j.gcb.2010.07.023. PMID: 21215540.","DOI":"10.1016\/j.gcb.2010.07.023"},{"issue":"3","key":"10028_CR8","doi-asserted-by":"publisher","first-page":"157","DOI":"10.55320\/mjz.45.3.195","volume":"45","author":"A Martynov","year":"2018","unstructured":"Martynov A, et al. Peritoneal tuberculosis mimicking peritoneal carcinomatosis. Med J Zambia. 2018;45(3):157\u201361.","journal-title":"Med J Zambia"},{"key":"10028_CR9","unstructured":"Centers for Disease Control and Prevention. Vietnam Utilizes New Tools to Combat Tuberculosis. CDC, www.cdc.gov\/globalhivtb\/who-we-are\/success-stories\/success-story-pages\/vietnam-new-tools.html#:~:text=In%202020%2C%20Vietnam%20reported%20172%2C000,the%20highest%20burdens%20of%20TB"},{"issue":"12","key":"10028_CR10","doi-asserted-by":"publisher","first-page":"3730","DOI":"10.3390\/cancers12123730","volume":"12","author":"P Charkhchi","year":"2020","unstructured":"Charkhchi P, Cybulski C, Gronwald J, Wong FO, Narod SA, Akbari MR. CA125 and ovarian Cancer: a Comprehensive Review. Cancers (Basel). 2020;12(12):3730. https:\/\/doi.org\/10.3390\/cancers12123730. PMID: 33322519; PMCID: PMC7763876.","journal-title":"Cancers (Basel)"},{"key":"10028_CR11","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/j.ejrad.2019.02.019","volume":"113","author":"RV Ramanan","year":"2019","unstructured":"Ramanan RV, Venu V. Differentiation of peritoneal tuberculosis from peritoneal carcinomatosis by the Omental Rim sign. A new sign on contrast enhanced multidetector computed tomography. Eur J Radiol. 2019;113:124\u201334.","journal-title":"Eur J Radiol"},{"key":"10028_CR12","doi-asserted-by":"publisher","unstructured":"Sanai FM, Bzeizi KI. Systematic review: tuberculous peritonitis\u2013presenting features, diagnostic strategies and treatment. Aliment Pharmacol Ther. 2005;22(8):685\u2013700. https:\/\/doi.org\/10.1111\/j.1365-2036.2005.02645.x. PMID: 16197489.","DOI":"10.1111\/j.1365-2036.2005.02645.x"},{"key":"10028_CR13","doi-asserted-by":"crossref","unstructured":"Khan F, Yousef et al. Peritoneal tuberculosis in Qatar: a five-year hospital-based study from 2005 to 2009. Travel medicine and infectious disease 10.1 (2012): 25\u201331.","DOI":"10.1016\/j.tmaid.2011.12.001"},{"key":"10028_CR14","doi-asserted-by":"publisher","unstructured":"Chiew WLA, Liu JXJ, Teo LT. A rare case of peritoneal tuberculosis. J Med Cases. 2016;7(4). https:\/\/doi.org\/10.14740\/jmc.v7i4.2449.","DOI":"10.14740\/jmc.v7i4.2449"}],"container-title":["BMC Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12879-024-10028-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12879-024-10028-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12879-024-10028-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T14:02:12Z","timestamp":1728568932000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcinfectdis.biomedcentral.com\/articles\/10.1186\/s12879-024-10028-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,10]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["10028"],"URL":"https:\/\/doi.org\/10.1186\/s12879-024-10028-5","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-2632157\/v1","asserted-by":"object"}]},"ISSN":["1471-2334"],"issn-type":[{"value":"1471-2334","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,10]]},"assertion":[{"value":"27 February 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration. Informed consent was obtained from the patient for being included in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1140"}}