Abdominal Tuberculosis in an Adolescent: A Long Journey to the Right Diagnosis
https://doi.org/10.58838/2075-1230-2026-104-3-81-87
Abstract
Clinical manifestations of abdominal tuberculosis (TB) include diverse symptoms of intoxication and specific local lesions of the gastrointestinal tract and/or other abdominal organs, complicating its timely diagnosis. The article presents a clinical case of delayed diagnosis of abdominal TB in an HIV-negative 14-year-old girl. According to the final diagnosis, the patient had abdominal TB (TB of the intestines, peritoneum, and mesenteric lymph nodes) complicated by abscess formation and, subsequently, by the respiratory TB (TB of the intrathoracic lymph nodes of all groups with single foci in the left S1–2 and right S4). The lack of TB vigilance among clinicians of various medical specialties combined with clinical manifestations similar to non-specific gastrointestinal diseases resulted in several months of observation without effective treatment. A detailed analysis of the diagnostic errors is presented.
About the Authors
E. P. Shilova
Novosibirsk State Medical University, Ministry of Health of the Russian Federation; Novosibirsk State Regional Clinical Tuberculosis Hospital
Russian Federation
Russian Federation
Elena P. Shilova, Teaching Assistant, Department of Phthisiopulmonology; Phthisiologist
52, Krasny Ave., Novosibirsk, 630091;
Tel: +7 (383) 343-12-65
L. V. Poddubnaya
Novosibirsk State Medical University, Ministry of Health of the Russian Federation; Novosibirsk State Regional Clinical Tuberculosis Hospital
Russian Federation
Russian Federation
Lyudmila V. Poddubnaya, Doctor of Medical Sciences, Associate Professor, Professor of the Department of Phthisiopulmonology; Phthisiologist
52, Krasny Ave., Novosibirsk, 630091;
Tel: +7 (383) 343-12-65
A. A. Baranchukova
Novosibirsk State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Anzhelika A. Baranchukova, Candidate of Medical Sciences, Associate Professor, Department of Phthisiopulmonology
52, Krasny Ave., Novosibirsk, 630091;
Tel: +7 (383) 343-12-65
T. I. Petrenko
Novosibirsk State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Tatyana I. Petrenko, Doctor of Medical Sciences, Associate Professor, Head of the Department of Phthisiopulmonology
52, Krasny Ave., Novosibirsk, 630091;
Tel: +7 (383) 343-12-65
E. V. Kulchavenya
Novosibirsk State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Ekaterina V. Kulchavenya, Doctor of Medical Sciences, Professor, Department of Phthisiopulmonology
52, Krasny Ave., Novosibirsk, 630091;
Tel: +7 (383) 343-12-65
T. S. Geleskul
Novosibirsk State Regional Clinical Tuberculosis Hospital
Russian Federation
Russian Federation
Tatiana S. Geleskul, Phthisiologist, Branch Head, Children's Tuberculosis Hospital
14, Vavilova St., Novosibirsk, 630082;
Tel: +7 (383) 225-59-81
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Review
For citations:
Shilova E.P., Poddubnaya L.V., Baranchukova A.A., Petrenko T.I., Kulchavenya E.V., Geleskul T.S. Abdominal Tuberculosis in an Adolescent: A Long Journey to the Right Diagnosis. Tuberculosis and Lung Diseases. 2026;104(3):81-87. (In Russ.) https://doi.org/10.58838/2075-1230-2026-104-3-81-87
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