- The low sensitivity of ascites culture for detecting acid-fast bacilli means that a peritoneal biopsy is essential when tuberculous peritonitis is suspected.
- A case study of a 47-year-old Nigerian man showed that despite negative ascites culture results, he was diagnosed with multidrug-resistant tuberculosis peritonitis through biopsy.
- Imaging findings, such as massive ascites and peritoneal thickening on CT scans, can raise suspicion for tuberculous peritonitis, indicating the need for further testing.