Primary tubercular liver abscess in an immunocompetent adult: A case report

被引：15

作者：

Baveja C. ^{[1
]}

Gumma V. ^{[1
]}

Chaudhary M. ^{[1
]}

Jha H. ^{[1
]}

机构：

[1] Department of Microbiology, Tuberculosis Laboratory, Maulana Azad Medical College, New Delhi

来源：

Journal of Medical Case Reports | / 3卷 / 1期

关键词：

Tuberculosis; Liver Abscess; Entamoeba Histolytica; Pyogenic Liver Abscess; Extrapulmonary Tuberculosis;

D O I：

10.1186/1752-1947-3-78

中图分类号：

学科分类号：

摘要：

Introduction: Isolated primary tubercular abscess is one of the rare forms of extrapulmonary tuberculosis. A greater awareness of this rare clinical entity may help in commencing specific evidence-based therapy quickly and preventing undue morbidity and mortality. Case presentation. A 30-year-old man, of Asian origin, developed a hepatic tubercular abscess which was not associated with any pulmonary or gastrointestinal tract foci of tuberculosis. An ultrasonogram of the abdomen showed an abscess in the right lobe of his liver which was initially diagnosed as an amoebic liver abscess. Subsequently, the pus from the lesion yielded Mycobacterium tuberculosis using the BACTEC TB 460 instrument and Mycobacterium tuberculosis deoxyribonucleic acid by polymerase chain reaction. The patient was started on systemic antitubercular therapy to which he responded favorably. Conclusion. This report emphasizes the fact that, although a tuberculous liver abscess is a very rare entity, it should be included in the differential diagnosis of unknown hepatic mass lesions. © 2009 Baveja et al; licensee BioMed Central Ltd.

引用

共 16 条

[1]

Akcay M.N., Polat K.Y., Oren D., Ozturk G., Primary tuberculous liver abscess: A case report and review of literature, Int J Clin Pract, 58, 6, pp. 625-627, (2004)

[2]

Balsarkar D.D., Joshi M.A., Isolated tuberculous hepatic abscess in a non immunocompromised patient, J Postgrad Med, 46, 2, pp. 108-109, (2000)

[3]

Roy R., Goyal R.K., Gupta N., Tuberculous liver abscess - A case report, J Assoc Phys Ind, 48, (2000)

[4]

Bangaroo A.K., Malhotra A.S., Isolated hepatic tuberculosis, J Ind Assoc Paediatr Surg, 10, 2, pp. 105-107, (2005)

[5]

Bristowe J.S., On the connection between abscess of the liver and gastrointestinal ulceration, Trans Path Soc, 9, pp. 241-252, (1958)

[6]

Hayashi M., Yamawaki Iokajima K., Tomimatsu M., Ohkawa S., Tuberculous liver abscess not associated with lung involvement, Intern Med, 43, 6, pp. 521-523, (2004)

[7]

Levine C., Primary macronodular hepatic tuberculosis: US and CT appearances, Gastrointest Radiol, 15, pp. 307-309, (1990)

[8]

Essop A.R., Segal I., Posen J., Tuberculous abscess of the liver, S Afr Med J, 63, pp. 825-826, (1983)

[9]

Kubota H., Ageta M., Kubo H., Wada S., Nagamachi S., Yamanaka T., Tuberculous liver abscess treated by percutaneous infusion of antituberculous agents, Intern Med, 33, pp. 351-356, (1994)

[10]

Desai C.S., Joshi A.G., Abraham P., Desai D.C., Deshpande R.B., Bhaduri A., Shah S.R., Hepatic tuberculosis in absence of disseminated abdominal tuberculosis, Ann Hepatol, 51, 1, pp. 41-43, (2006)

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