Diagnostic Laparoscopy of the Gastrointestinal Tract

Background: Abdominal TB, which may involve the gastrointestinal tract, peritoneum, lymph nodes or solid viscera, constitutes up to 12% of extrapulmonary TB and 1-3% of the total. Tuberculosis can involve any part of the gastrointestinal tract and is the sixth most frequent site of extrapulmonary involvement. Both the incidence and severity of abdominal tuberculosis are expected to increase with increasing incidence of HIV infection. Peritoneal tuberculosis occurs in three forms: wet type with ascitis, dry type with adhesions, and fibrotic type with omental thickening and loculated ascites. Aim of the present study was to evaluate the role of laparoscopy in cases of pyoperitoneum.Methods: In present study authors included the cases of pyoperitoneum which is diagnosed by ultrasound aspiration and no sign of perforation of bowel and is hemodynamic stable.Results: A total of 14 cases of pyoperitoneum were included. All underwent diagnostic laparoscopy. 3 had underlying ruptured appendicitis and excluded from study. Rest 11 had no perforation associated with it. 7 were female and 4 were male. Through lavarge of peritoneum done and drain placed in pelvis. Fluid was sent for ADA estimation which was increased in all eleven cases. DOTS treatment was started in all cases and they respond well to treatment in 6 month follow up.Conclusions: Tubercular pyoperitoneum is common entity in surgical setting. Laparoscopy has got encouraging role in these cases as it avoids laparotomy and complications associated with it.

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Habitat Association of Klebsiella Species

Infection Control ◽

10.1017/s0195941700062603 ◽

1985 ◽

Vol 6 (2) ◽

pp. 52-58 ◽

Cited By ~ 111

Author(s):

Susan T. Bagley

Keyword(s):

Drinking Water ◽

Gastrointestinal Tract ◽

Surface Waters ◽

Industrial Effluents ◽

Opportunistic Pathogen ◽

Habitat Associations ◽

Habitat Association ◽

Klebsiella Species ◽

Almost All ◽

Polluted Waters

AbstractThe genus Klebsiella is seemingly ubiquitous in terms of its habitat associations. Klebsiella is a common opportunistic pathogen for humans and other animals, as well as being resident or transient flora (particularly in the gastrointestinal tract). Other habitats include sewage, drinking water, soils, surface waters, industrial effluents, and vegetation. Until recently, almost all these Klebsiella have been identified as one species, ie, K. pneumoniae. However, phenotypic and genotypic studies have shown that “K. pneumoniae” actually consists of at least four species, all with distinct characteristics and habitats. General habitat associations of Klebsiella species are as follows: K. pneumoniae—humans, animals, sewage, and polluted waters and soils; K. oxytoca—frequent association with most habitats; K. terrigena— unpolluted surface waters and soils, drinking water, and vegetation; K. planticola—sewage, polluted surface waters, soils, and vegetation; and K. ozaenae/K. rhinoscleromatis—infrequently detected (primarily with humans).

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