Interest of the Adenosine deaminase assay in the ascites fluid in the diagnosis
of peritoneal tuberculosis

K.KRATI*, H.OUARRACH*,S.OUBAHA**, Z.SAMLANI *
Page No. 88-96

Tuberculosis is a public health problem in Morocco, the prevalence of which is increasing in recent
years, despite diagnostic and therapeutic advances. Peritoneal tuberculosis is the most frequent
form of digestive tuberculosis, and its diagnosis of certainty is either microbiological or
histological, but there are some recent methods that are particularly important, such as the
measurement of adenosine deaminase (ADA) The activity has a very good diagnostic value with
high specificity and sensitivity according to the studies at a threshold value of 30 IU / l.
In order to determine the practical value of the ADA assay in the ascites fluid in the diagnosis of
peritoneal tuberculosis, a retrospective study was carried out within our department over a period
of 8 years.
Keywords : Peritoneal tuberculosis, ascites, Adenosine deaminase, peritoneal biopsies