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PubMed · 4363732

[Encapsulating peritonitis: diagnostic and etiologic problems].

P H Delavierre·M Freyer·F Lebas·C H Caulin·J M Segrestaa
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Adrenal Cortex HormonesAdultEthambutolFemaleHumansIsoniazidLaparotomyMiddle AgedPeritonitisPeritonitis, TuberculousRadiography, AbdominalRadiography, ThoracicRifampinTuberculosis, GastrointestinalJournal Article

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P H Delavierre, M Freyer, F Lebas, C H Caulin, J M Segrestaa. 1973-11-20. [Encapsulating peritonitis: diagnostic and etiologic problems].. https://pubmed.ncbi.nlm.nih.gov/4363732/

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An outbreak of mainly extrapulmonary tuberculosis (TB) in a group of about 550 patients with rheumatoid arthritis (RA) is described. These patients had been attending the practice of a former general practitioner who treated cases of rheumatoid arthritis with phenylbutazone and steroids. The number of diagnosed TB cases was 55. Six cases had a contagious lung localisation. The possible sources of the outbreak were analysed. Both a visit on a same day as a sputum positive patient (chi 2-trend: 20.4; p < 0.001) and the administration of steroids (odds ratio (OR): 36.2; 95% confidence interval (CI): 8.8-313) were independent risk factors. There also appeared to be a relationship between TB and RA (OR: 4.4; 95%-BI: 2.2-9.1). Exogenous re(infection) and endogenous reactivation are possible causes of this outbreak.

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