Tuberculosis: still the great pretender!

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Abstract
Tuberculosis is more common in uraemic patients, possibly related to impaired cell-medicated immunity, and previous or ongoing immunosuppressivetherapy. Tuberculous peritonitis makes up to 2–65% of all cases of peritonitis complicating continuous ambulatory peritoneal dialysis (CAPD) (Vas, 1994). It is often difficult to diagnose, as tuberculosis iscapable of mimicking most intraabdominal pathologies including carcinoma and CAPD-peritonitis. Peritoneal white cell count (total and and cell type) are mostly unhelpful and culture is often negative or clouded by concurrent or seemingly resistant bacterial peritonitis (Lui et al, 1996).

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