{
  "abstract": "We report the case of a 34‐year‐old male with persistent fever, ascites, thrombocytosis and clinical deterioration despite broad‐spectrum therapy who was ultimately diagnosed with peritoneal tuberculosis and concurrent chronic myeloid leukaemia. Initial investigations, including interferon‐γ release assay and ascitic acid‐fast bacilli, were negative, highlighting the limited sensitivity of traditional testing in extrapulmonary disease. Diagnosis required molecular testing and adenosine deaminase measurement, with delayed confirmation by culture. Bone marrow aspirate and trephine, pursued to broaden the differential diagnosis, revealed a Philadelphia chromosome. This case underscores the need for sustained diagnostic vigilance, multimodal investigation and avoidance of diagnostic parsimony.",
  "abstract_shown": true,
  "affiliations": [
    "UNSW Sydney Sydney New South Wales Australia",
    "Coffs Harbour Health Campus Coffs Harbour New South Wales Australia",
    "Royal North Shore Hospital Sydney New South Wales Australia",
    "Charles Sturt University Macksville New South Wales Australia"
  ],
  "article_type": "other",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Zayn Al‐Timimi",
      "orcid": "0000-0002-4296-7995"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Gem Chew"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Martin Browne"
    },
    {
      "affs": [
        0,
        1,
        3
      ],
      "name": "Christiaan Mostert"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/66z0qdpsvq5tt.bib",
  "cited_by": 0,
  "doi": "10.5694/mja2.70326",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13711238/",
  "id": "66z0qdpsvq5tt",
  "issns": [
    "0025-729X",
    "1326-5377"
  ],
  "landing_url": "https://doi.org/10.5694/mja2.70326",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "General Medicine"
    ],
    [
      "heading",
      "Hematologic Diseases"
    ],
    [
      "heading",
      "Infectious Diseases"
    ],
    [
      "heading",
      "Medical Education: Lessons from Practice"
    ],
    [
      "openalex",
      "2746|Diagnosis and treatment of tuberculosis"
    ]
  ],
  "openalex": "W7223995099",
  "pdf_url": "https://onlinelibrary.wiley.com/doi/pdfdirect/10.5694/mja2.70326",
  "pmcid": "PMC13711238",
  "pmid": "42935363",
  "published": "2026-10-27",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/66z0qdpsvq5tt.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T12:22:03Z",
      "native_id": "PMC13711238",
      "source": "pmc",
      "url": "https://doi.org/10.5694/mja2.70326"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "heading:Infectious Diseases",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Peritoneal Tuberculosis and Chronic Myeloid Leukaemia: A Case of Hickam's Dictum",
  "title_text": "Peritoneal Tuberculosis and Chronic Myeloid Leukaemia: A Case of Hickam's Dictum",
  "type": "peer-reviewed",
  "updated_at": "2026-10-31T12:22:03Z",
  "url": "https://research.draconitic.com/paper/66z0qdpsvq5tt",
  "venue": "The Medical Journal of Australia",
  "versions": []
}