Localized hepatic tuberculosis

Mert, Ali; Özaras, Reşat; Tabak, Fehmı; Öztürk, Recep; Bilir, Muammer

doi:10.1016/j.ejim.2003.09.007

Cited by 59 publications

(86 citation statements)

References 3 publications

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“…10 Concomitant involvement of the lungs in hepatic TB is very common but as in our case isolated HTB is not common. 11,12 TB, particularly extra pulmonary TB, is of growing concern in HIV/AIDS patients; however, our case demonstrates that isolated HTB can occur without any apparent underlying immuno-compromised state.…”

Section: Discussionmentioning

confidence: 83%

Isolated Hepatic Tuberculosis: an uncommon presentation of a common entity.

Shastri¹,

Kausadikar²,

Jariwala³

et al. 2014

AMJ

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Hepatic tuberculosis (HTB) is commonly encountered in patients with widespread miliary disease. Isolated affection of the liver is extremely rare. We present a case of a young woman who presented with a subacute afebrile hepatic failure. Investigations including a liver biopsy proved that the presentation was due to granulomatous hepatitis secondary to mycobacterial infection of the liver. It is important that tuberculosis (TB) be kept in mind especially in endemic areas even in atypical clinical scenarios by clinicians, radiologists, and pathologists. Use of anti-tuberculous drugs in such cases is usually successful and must be instituted early.

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Section: Discussionmentioning

confidence: 83%

Isolated Hepatic Tuberculosis: an uncommon presentation of a common entity.

Shastri¹,

Kausadikar²,

Jariwala³

et al. 2014

AMJ

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“…Although US, CT and MRI can detect hepatic tuberculom, differential diagnosis with other masses (cystic, necrotic or infected metastases, fungal abscesses, lymphoma) may be difficult [2,5]. Because of that hepatic tuberculom is often misdiagnosed as liver cancer, liver abscess, benign tumor of liver, liver cysts, liver hydatid and so on [7].…”

Section: Resultsmentioning

confidence: 99%

“…Extrapulmonary tuberculosis constitutes 15.7-21% of all tuberculosis cases and less than 1% of all cases involving liver [1,2]. The most common form is the diffuse hepatic involvement seen along with pulmonary or miliary tuberculosis in 50-80% of patients dying of pulmonar tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

“…Isolated hepatic tuberculosis is granulomatous liver disease without pulmonary or bowel involvement. The imaging appearance of these lesions is considered to be nonspecific and can simulate metastases, abscess, and primary malignancy and thus, can mimic a number of other disease entities, and it is important to be familiar with the radiologic features to ensure early, accurate diagnosis [2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Magnetic Resonance Imaging Findings of Isolated Hepatic Tuberculoma: A Diagnostic Dilemma

Ty¹,

Asadov²,

Ergelen³

2017

J Biomedical Sci

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Extrapulmonary tuberculosis, constitutes almost one-fifth of all tuberculosis cases and less than 1% of all cases involving liver. Here we report a case of isolated hepatic tuberculoma mimicking solitary liver mass on MRI, recovered with anti-TB treatment. The radiologic features of hepatic tuberculoma can mimic liver tumors, cholangiocarcinomas, liver abscess and hydatid cyst, or may present with various forms of systemic diseases. The physical findings and imaging appearance of hepatic tuberculoma are considered to be nonspecific on US, CT and MRI that may cause diagnostic problems. For the accurate diagnosis of atypical liver lesions mimicing mass at radiologic imaging, a histopathological or bacteriological confirmation is often required.

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“…We can include HTB as a disease that presents with fever of unknown origin [7,8]. HTB generally occurs due to the reactivation of an old focus of tuberculosis, or on rare occasions as a result of a primary hepatic case [9]. The clinical presentation is generally atypical, as are the laboratory and radiological exams.…”

mentioning

confidence: 99%