[Hepatic tuberculosis simulating a pyogenic abscess].
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Abscess↗
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Results for “Tuberculosis, Hepatic”
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[The pseudo-tumoral form of hepatic tuberculosis. Five case reports].
The authors report 5 cases of pseudotumoral tuberculosis of the liver. They essentially involved young men from disadvantaged socio-economic backgrounds. Clinically, poor general condition with massive weight loss was constant, while pyrexia and hepatomegaly were sometimes absent. Hepatobiliary ultrasonography revealed hypoechogenic or even anechogenic lesions between 1.5 and 3.5 cm in diameter. Diagnostic confirmation was histological after needle biopsy. The outcome after antibiotic treatment with or without drainage, was recovery, with ultrasonographic normalization of the liver, in all patients, with a mean follow-up of 22 months.
Adult↗
[Hepatic tuberculosis of pseudotumor form in an immunocompetent patient. Clinical and radiological aspect].
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Adult↗
[Hepatic tuberculosis: a case with pseudotumours form].
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Adult↗
[Pseudotumoral hepatic tuberculosis].
In the absence of active pulmonary disease, hepatic focal tuberculosis is a rare form of tuberculosis. We present a case of pseudotumoral hepatic tuberculosis in a 44-year-old man; diagnosis is difficult because of its radiological similarity with primary or metastatic hepatic cancer. Percutaneous biopsy with US or CT guidance offers a good diagnostic alternative to laparoscopy. Histology examination revealed a tuberculoid granulomatous lesion. The disease has a good response to tuberculostatic treatment.
Adult↗
Hepatitis tuberculosis presenting as tumoral disease on ultrasonography.
Macronodular involvement of the liver is a rare manifestation of hepatitis tuberculosis. Two cases of this pseudotumoral form are reported on ultrasonography, demonstrating multiple hypoechoic nodules distributed throughout the liver. The authors state the difficulty in differentiating this form in its atypical presentation from lymphomatous or secondary malignancies. They stress the importance of the bacteriological and/or histological diagnosis which can be performed with fine-needle percutaneous biopsy under ultrasound guidance and which allows effective therapy.
Adult↗
Isolated hepatic tuberculosis: report of five cases and review of the literature.
Tuberculosis is one of the most common and well-described infectious diseases, with a worldwide distribution and a vast spectrum of clinical manifestations. Involvement of the liver alone by tuberculosis is, however, uncommon. It usually presents as a protracted illness frequently associated with jaundice and hepatomegaly. It can, therefore, mimic primary or metastatic liver malignancies. We report five cases of isolated hepatic tuberculosis, emphasizing the importance of obtaining a tissue diagnosis in all subjects with suspicious liver lesions to avoid missing the uncommon but curable hepatic tuberculosis.
Adult↗
[Hepatic tuberculosis: anatomical and clinical findings. A review of forty-six cases (author's transl)].
Over eight years the authors recorded 46 cases of hepatic tuberculosis. Most cases occurred in patients from black Africa. Forty-five patients had at least one extrahepatic tuberculous localization. Moderate cholestasis, without jaundice, found in 75% of patients, was the main biologic disorder. Upon histologic examination, five different types of granulomas were found. Each one has a specific predictive value concerning the outcome of the tuberculous infection.
Adult↗
[Pseudotumoral hepatic tuberculosis. Ultrasonics and x-ray computed tomography apropos of a case].
Results of CT scan and ultrasound exploration were discordant in a patient with the pseudotumoral form of hepatic tuberculosis. Although rare, this localization should not be unrecognized because of the curable nature of the affection. Tissular characterization of lesion was not possible by medical imaging alone and liver puncture-biopsy examination was necessary.
Aged↗
Prevalence of tuberculosis, hepatitis B virus, and intestinal parasitic infections among refugees to Minnesota.
OBJECTIVE: The purpose of this study was to define the prevalence of infection with Mycobacterium tuberculosis, hepatitis B virus, and various intestinal parasites among different groups of primary refugees immigrating to Minnesota. METHODS: 2,545 refugees arriving in Minnesota during 1999 received a domestic health examination that included tuberculin skin testing, hepatitis B virus serologic testing, and stool ova and parasite examinations. The Refugee Health Assessment form asked specifically about screening results for amebiasis, ascariasis, clonorchiasis, giardiasis, hookworm, schistosomiasis, strongyloidiasis, and trichuriasis. RESULTS: Forty-nine percent of refugees had a reactive tuberculin test of >or=10 mm induration, with a higher prevalence in males (54%) and refugees >or=18 years of age (63%) (p<0.001). Seven percent had a positive hepatitis B surface antigen, with the highest prevalence in those people from sub-Saharan Africa (8%) (p=0.002) and those refugees >or=18 years of age (9%) (p=0.006). Twenty-two percent had one or more intestinal parasites asked about, including 30% of those refugees <18 years of age (p<0.001). The most commonly reported parasitic infections were trichuriasis (8%) and giardiasis (7%). CONCLUSIONS: Evidence of infection with M. tuberculosis, hepatitis B virus, or one of eight intestinal parasites was present in a substantial proportion of refugees receiving the domestic health assessment. Screening for such infections gives new immigrants the opportunity to receive important medical evaluation and treatment, provides valuable surveillance data, and allows appropriate public health measures to be taken.
Adolescent↗
Focal hepatic tuberculosis in a patient with acquired immunodeficiency syndrome.
Patients infected with HIV are known to have unusual manifestations of a variety of infections. We have described the third reported case of a patient with AIDS having an apparent pyogenic liver abscess subsequently diagnosed as focal hepatic tuberculosis. This case emphasizes the need for aggressive diagnostic procedures for evaluation of focal liver abnormalities in these patients.
Acquired Immunodeficiency Syndrome↗
A prospective study of hepatic tuberculosis in 41 black patients.
Forty-one black patients aged 21 to 75 years with hepatic tuberculosis diagnosed at liver biopsy were studied prospectively. The liver varied in size and consistency and was tender in 44 per cent of patients. Abdominal symptoms, weight loss, pyrexia, hepatomegaly, splenomegaly and anaemia were absent in 54, 39, 37, 5, 68 and 27 per cent of patients respectively. Twenty-two per cent of chest radiographs were normal. Liver function tests were of little diagnostic value and hepatic imaging techniques often gave normal results. Acid-fast bacilli, caseation and coexistent liver disease were detected in 59, 51 and 37 per cent of patients respectively. Since there was no consistent clinical pattern a high index of suspicion is necessary if this disease is to be detected in communities in which tuberculosis is endemic. In patients with unexplained hepatomegaly or hepatosplenomegaly or pyrexia of unknown origin liver biopsy provides the only means of making this diagnosis.
Adult↗
[Hepatic tuberculosis after Hodgkin's disease. Echographic and x-ray computed tomographic aspects. A case report].
The authors report a case of hepatic tuberculosis on a pre-existing Hodgkin disease with hepatic localisations. They point out how echographic and CT imaging are non specific in this disease and so insist on the diagnostic interest of puncture-biopsy under guidance of the hepatic nodules.
Aged↗
[Hepatic tuberculosis: case report of pseudotumoral form].
Inflammatory pseudo-tumors of the liver are rare and difficult to diagnose, mimicking malignant tumors. We report a patient, 42 year old with hepatic pseudo-tumor who was suspected to have pseudotumoral hepatic tuberculosis without immunodepression and treated by major hepatic surgery because no sure diagnosis. Therapeutic approach of hepatic inflammatory pseudotumors is often medical and surgical and may need major hepatic surgery in case of sure etiologic diagnosis.
Adult↗
Simultaneous hepatic tuberculosis, cirrhosis and hepatoma. A case report.
Multiple hepatic disease is unusual. An association between tuberculosis of the liver and cirrhosis has occasionally been described, but the occurrence of hepatoma and tuberculous hepatitis has not been reported previously. Clinically it may be difficult to distinguish hepatic tuberculosis from cirrhosis or hepatoma, and diagnostic procedures may not be helpful. We report a patient with tuberculous hepatitis, hepatoma and cirrhosis in whom the diagnosis alternated between the last two conditions until autopsy finally revealed the presence of all three.
Aged↗
Hepatic tuberculosis in a patient with sickle-cell anemia who died of fatal post-transfusion hepatitis.
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Anemia, Sickle Cell↗
Primary hepatic tuberculosis in homozygous alpha-1-antitrypsin deficiency.
The case of a young female patient with homozygous alpha-1-antitrypsin deficiency (Pi-ZZ) associated chronic liver disease, who developed primary hepatic tuberculosis shortly after delivery of a healthy baby girl is reported. These findings emphasize that this rare disease should be considered even in patients with precirrhotic liver disease, while pointing out that the genetically determined deficiency of protease inhibitor alpha-1-antitrypsin (AAT) predisposes to hepatic infection.
Adult↗
Computed tomography and angiography in hepatic tuberculosis mimicking liver tumor.
Tuberculosis is one of the most common and well-documented infectious diseases, with a vast variety of clinical manifestations. A case of isolated hepatic tuberculosis mimicking liver tumor is presented. The patient was a 44-year-old man who had suffered from intermittent epigastralgia for about 2 years. Abdominal computed tomography demonstrated a low density mass with internal calcification over the left lobe of the liver. Celiac angiography showed encasement of the hepatic propia and occlusion of the left hepatic artery. Abnormal tortuous vascular structures were found at the hepatic hilar region. The patient underwent surgical intervention under the impression of left liver tumor. Microscopically, the resected liver tissue specimen revealed tuberculosis.
Adult↗