Elsevier

Tubercle

Volume 65, Issue 2, June 1984, Pages 127-131

Case report
Tuberculous liver abscess

https://doi.org/10.1016/0041-3879(84)90065-5Get rights and content

Abstract

A 36-year-old patient presented with liver abscess, an unusual form of tuberculosis. Her clinical course was a perplexing one since the tuberculosis manifested as prolonged fever from an undefined source. Despite extensive investigations and triple antituberculosis chemotherapy her disease was refractory until surgical drainage was performed.

Résumé

Une femme de 36 ans présentait un abcès du foie, ce qui est une forme inhabituelle de tuberculose. Son histoire clinique n'évoquait rien de particulier car la tuberculose se traduisait par une fièvre prolongée à laquelle on ne raccrochait aucune étiologie. En dépit de nombreux examens et d'une triple chimiothérapie antituberculeuse, son affection a continué à se développer jusqu' à ce qu'un drainage chirurgical ait été pratiqué.

Resumen

En un paciente de 36 años de edad se observó un absceso hepático, forma inhabitual de tuberculosis. Su evolución clinica fue compleja debido a que la tuberculosis se manifestaba como un estado febril prolongado, de origen indefinido. A pesar de las múltiples investigaciones y de una triple quimioterapia antituberculosa, la enfermedad fue refractaria hasta que se practicó un drenaje quirúrgico.

References (12)

  • E. Morris

    Tuberculosis of the liver

    American Review of Tuberculosis

    (1930)
  • R.B. Terry et al.

    Primary miliary tuberculosis of the liver

    Journal of the American Medical Association

    (1957)
  • S.A. Leader

    Tuberculosis of the liver and gallbladder with abscess formation. A review and case report

    Annals of Internal Medicine

    (1952)
  • N. Ashton

    A case of multiple tuberculomata of the liver

    Journal of Pathology and Bacteriology

    (1946)
  • C.V. Choremis et al.

    A case of tuberculous hepatitis and its biological reactions

    Acta Paediatrica

    (1949)
  • W.E. Herrell et al.

    Recurrent hyperpyrexia due to solitary tuberculoma of the liver with review of the literature

    Journal of the American Medical Association

    (1938)
There are more references available in the full text version of this article.

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