tailieunhanh - Báo cáo y học: "Primary tubercular liver abscess in an immunocompetent adult: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Primary tubercular liver abscess in an immunocompetent adult: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Primary tubercular liver abscess in an immunocompetent adult a case report CP Baveja Vidyanidhi Gumma Monica Chaudhary and Himanshu Jha Address Department of Microbiology Tuberculosis Laboratory Maulana Azad Medical College New Delhi India Email CP Baveja - bavejac@ Vidyanidhi Gumma - vidya_micro@ Monica Chaudhary - drmonica74@ Himanshu Jha - himanshumamc@ Corresponding author Published 15 October 2009 Received 17 October 2008 Journal of Medical Case Reports 2009 3 78 doi 1752-1947-3-78 Accepted 15 October 2009 This article is available from http content 3 1 78 2009 Baveja et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ 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