Miliary Tuberculosis Initially Presenting as an Isolated Hepatic Abscess
Hepatic tuberculosis, typically associated with miliary tuberculosis, can occasionally present as localized liver lesions. This case report describes a 77-year-old male presenting with persistent abdominal pain and fever, following an endoscopic retrograde cholangiopancreatography for bile duct slud...
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| Format: | Article |
| Language: | English |
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Jin Publishing & Printing Co.
2025-01-01
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| Series: | The Korean Journal of Gastroenterology |
| Subjects: | |
| Online Access: | https://www.kjg.or.kr/journal/view.html?uid=6083&vmd=Full |
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| _version_ | 1825206694524747776 |
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| author | Chang Won Ha Sang Deok Shin Myung Ji Goh Byeong Geun Song Wonseok Kang Dong Hyun Sinn Geum-Youn Gwak Yong-Han Paik Moon Seok Choi Joon Hyeok Lee |
| author_facet | Chang Won Ha Sang Deok Shin Myung Ji Goh Byeong Geun Song Wonseok Kang Dong Hyun Sinn Geum-Youn Gwak Yong-Han Paik Moon Seok Choi Joon Hyeok Lee |
| author_sort | Chang Won Ha |
| collection | DOAJ |
| description | Hepatic tuberculosis, typically associated with miliary tuberculosis, can occasionally present as localized liver lesions. This case report describes a 77-year-old male presenting with persistent abdominal pain and fever, following an endoscopic retrograde cholangiopancreatography for bile duct sludge removal. Subsequent computed tomography revealed focal liver lesions. Despite initial treatment with antibiotics for a suspected inflammatory liver abscess, his condition did not improve. A liver biopsy was performed, revealing caseous granulomas, and the tuberculosis polymerase chain reaction result was positive. The patient was diagnosed with primary hepatic tuberculosis, which later disseminated. Oral anti-tuberculosis therapy was initiated and is currently being closely monitored. This case emphasizes the importance of considering hepatic tuberculosis in the differential diagnosis of liver lesions, particularly in cases involving cholestatic liver function tests, and persistent symptoms unresponsive to conventional antibiotics. |
| format | Article |
| id | doaj-art-2015fb6daddc43bd9479d0fcf3c18f96 |
| institution | Kabale University |
| issn | 1598-9992 2233-6869 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Jin Publishing & Printing Co. |
| record_format | Article |
| series | The Korean Journal of Gastroenterology |
| spelling | doaj-art-2015fb6daddc43bd9479d0fcf3c18f962025-02-07T06:32:01ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922233-68692025-01-0185788210.4166/kjg.2024.119Miliary Tuberculosis Initially Presenting as an Isolated Hepatic AbscessChang Won Ha0Sang Deok Shin1Myung Ji Goh2Byeong Geun Song3https://orcid.org/0000-0001-9418-7846Wonseok Kang4Dong Hyun Sinn5Geum-Youn Gwak6Yong-Han Paik7Moon Seok Choi8Joon Hyeok Lee9Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaHepatic tuberculosis, typically associated with miliary tuberculosis, can occasionally present as localized liver lesions. This case report describes a 77-year-old male presenting with persistent abdominal pain and fever, following an endoscopic retrograde cholangiopancreatography for bile duct sludge removal. Subsequent computed tomography revealed focal liver lesions. Despite initial treatment with antibiotics for a suspected inflammatory liver abscess, his condition did not improve. A liver biopsy was performed, revealing caseous granulomas, and the tuberculosis polymerase chain reaction result was positive. The patient was diagnosed with primary hepatic tuberculosis, which later disseminated. Oral anti-tuberculosis therapy was initiated and is currently being closely monitored. This case emphasizes the importance of considering hepatic tuberculosis in the differential diagnosis of liver lesions, particularly in cases involving cholestatic liver function tests, and persistent symptoms unresponsive to conventional antibiotics.https://www.kjg.or.kr/journal/view.html?uid=6083&vmd=Fullhepatic tuberculosisliver abscess |
| spellingShingle | Chang Won Ha Sang Deok Shin Myung Ji Goh Byeong Geun Song Wonseok Kang Dong Hyun Sinn Geum-Youn Gwak Yong-Han Paik Moon Seok Choi Joon Hyeok Lee Miliary Tuberculosis Initially Presenting as an Isolated Hepatic Abscess The Korean Journal of Gastroenterology hepatic tuberculosis liver abscess |
| title | Miliary Tuberculosis Initially Presenting as an Isolated Hepatic Abscess |
| title_full | Miliary Tuberculosis Initially Presenting as an Isolated Hepatic Abscess |
| title_fullStr | Miliary Tuberculosis Initially Presenting as an Isolated Hepatic Abscess |
| title_full_unstemmed | Miliary Tuberculosis Initially Presenting as an Isolated Hepatic Abscess |
| title_short | Miliary Tuberculosis Initially Presenting as an Isolated Hepatic Abscess |
| title_sort | miliary tuberculosis initially presenting as an isolated hepatic abscess |
| topic | hepatic tuberculosis liver abscess |
| url | https://www.kjg.or.kr/journal/view.html?uid=6083&vmd=Full |
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