Isolated Tuberculous Liver Abscess in an Immunocompromised Adult: A case report

Abstract

Abstract:In Bangladesh tuberculosis (TB) cases are fairly common but isolated hepatobilliary TB cases are extremely rare. Liver abscess due to TB without involvement of any other site causes diagnostic delay and can easily confuse with pyogenic or amoebic liver abscess or haepatocellular carcinoma. We present a case of a 44-years-old diabetic,normotensive male who presented with prolonged high grade fever with chill and rigor with tender hepatomegally. He was put on treatment for liver abscess but was not responding. Later on, histopathology was done and it turned out to be a case of tuberculous liver abscess.

Isolated tuberculosis liver abscess in an immunocompetent patient

“… 4 It is often misdiagnosed as a pyogenic or amoebic abscess. 5 Most of the cases in the literature occur alongside miliary TB of the lungs, which spread to the liver by hematogenous spread. 6…”

“…4 It is often misdiagnosed as a pyogenic or amoebic abscess. 5 Most of the cases in the literature occur alongside miliary TB of the lungs, which spread to the liver by hematogenous spread. 6 The diagnosis of TLA has always been challenging as the symptoms of this condition are not specific.…”

“…Isolated TLA is an extremely rare condition, The incidence of which was found to be 0.34% 4 . It is often misdiagnosed as a pyogenic or amoebic abscess 5 6 …”

A case of Peritonitis with pneumoperitoneum secondary to a spontaneous rupture of splenic abscess

“…Rarely, it can be spontaneous, as in our case. Acute peritonitis due to non-traumatic rupture is exceptional 7,9 . Pneumoperitoneum secondary to ruptured splenic abscess is even rarer clinical entity with less than 10 cases reported in the literature 1 .…”

Isolated Tuberculosis liver abscess in an immunocompetent patient.

“…6 It is often misdiagnosed as a pyogenic or amoebic abscess. 4 Most of the cases in the literature occur alongside miliary TB of the lungs, which spread to the liver by hematogenous spread. 5 The diagnosis of TLA has always been challenging as the symptoms of this condition are not specific.…”