i Intestinal tuberculosis and tuberculous peritonitis GAO Hong Department of Gastroenterology, Zhongshan Hospital Fudan University Fudan University ZhongshanHlespitam
Fudan University Zhongshan Hospital www.themegallery.com GAO Hong Department of Gastroenterology, Zhongshan Hospital Fudan University Intestinal tuberculosis and tuberculous peritonitis
Objectives 1. To master the clinical manifestations, complications. diagnosis and differential agnosIs. 2. To master the diagnosis and differential diagnosis of ascites, especially saag and ADA: 3. To be familiar with the pathogenesis, classification, prevalence and the therapy of the diseases Fudan University ZhongshanHlespitam
Fudan University Zhongshan Hospital www.themegallery.com Objectives 1. To master the clinical manifestations, complications, diagnosis and differential diagnosis. 2. To master the diagnosis and differential diagnosis of ascites, especially SAAG and ADA; 3. To be familiar with the pathogenesis, classification, prevalence and the therapy of the diseases
Pathogen Mycobacterium tuberculosis is the pathogen in most cases Mycobacterium bovis in some parts of the world with no pasteurization of milk Mycobacterium avium intracellulare has become a major pathogen in HIV patients M. africanum. M. microti, and M. canetti 74 oxp e
Fudan University Zhongshan Hospital www.themegallery.com Pathogen • Mycobacterium tuberculosis is the pathogen in most cases. • Mycobacterium bovis in some parts of the world with no pasteurization of milk. • Mycobacterium avium intracellulare has become a major pathogen in HIV patients. • M. africanum, M. microti, and M. canetti
Estimated TB incidence rates, by country, 2009 25-49 5099 100-299 No estimate The boundaries and names shown and the designations used on this map do not imply Source: Global Tuberculosis the expression of any opinion whatsoever on the part of the World Health Organization Control 2010. WHO, 2010 World Health concerning the legal status of any country, territory, city or area or of its authorities, Organization or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement O WHO 2010. All rights reserved
Fudan University Zhongshan Hospital www.themegallery.com
Epidemiology Second infectious disease in China aT-t. The epidemic is being accelerated by Co- infection with hiv and compounded by multi- drug resistant TB; The incidence of g tb is un known 20% pulmonary TB cases have extra pulmonary TB including GI TB 15-20%Gl TB case have pulmonary TB Fudan University ZhongshanHlespitam
Fudan University Zhongshan Hospital www.themegallery.com Epidemiology • Second infectious disease in China • The epidemic is being accelerated by coinfection with HIV and compounded by multidrug resistant TB; • The incidence of GI TB is unknown; • 20% pulmonary TB cases have extrapulmonary TB including GI TB; • 15-20% GI TB case have pulmonary TB