Case report : tuberculosis liver abscess in male alcoholism patient

1st International Conference on Tropical Medicine and Infectious Diseases (ICTROMI) Faculty of Medicine Universitas Sumatera Utara

Siahaan, W.P.^1 ; Ginting, F.^2

Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia^1

Division of Infectious and Tropical Diseases, Department of Internal Medicine, Haji Adam Malik Hospital, Universitas Sumatera Utara, Medan, Indonesia^2

关键词: Abdominal scans;    Anti tuberculars;    Case reports;    Diagnostic criterion;    Differential diagnosis;    Gastrointestinal tract;    Indonesia;    Middle-income countries;   

Others  :  https://iopscience.iop.org/article/10.1088/1755-1315/125/1/012083/pdf
DOI  :  10.1088/1755-1315/125/1/012083

来源: IOP

【 摘 要 】

A liver abscess often occurs in low-middle income countries such as Indonesia. Two most common liver abscesses are amoebic and pyogenic liver abscess. Data that reported tuberculosis liver abscess (TLA) is extremely rare. A diagnostic criterion for tuberculosis liver abscess is rare and remains unclear. A 52-year-old man developed a TLA which was not associated with any pulmonary or gastrointestinal tract foci of tuberculosis. An ultrasonogram and abdominal scan showed an abscess in the right lobe. We performed paracentesis, and the pus from the lesion was positive tubercular bacilli on acid-fast bacilli staining. The patient was started on systemic antitubercular therapy to which he responded favorably. This report emphasizes the fact that, although a TLA is a very rare entity, it should be included in the differential diagnosis of liver abscess especially in Indonesia where the prevalence of tuberculosis is extremely high.