title: Focal tuberculosis of the liver with local hemorrhage in a patient with acquired immunodeficiency syndrome.
abstract: Tuberculosis of the liver is common in patients with acquired immunodeficiency syndrome (AIDS). Tuberculous liver granulomas in such patients are usually atypical. The liver granulomas may be even totally absent, but liver tissue usually reveals numerous acid-fast bacilli. Focal tuberculosis of the liver is a less common form of liver tuberculous infection. We present a 33-year old white homosexual man infected with the human immunodeficiency virus. He had three tumour-like lesions in the left liver lobe, which were subsequently diagnosed as focal hepatic tuberculosis with local hemorrhage. This unusual presentation of liver tuberculosis indicates the necessity of an aggressive diagnostic approach for the evaluation of focal liver lesions in patients with AIDS.
authors.affiliation: Institute for Infectious and Tropical Disease Dr Kosta Todorovic, Medical Faculty, Belgrade, Yugoslavia.
authors.forename: B J
authors.initials: BJ
authors.lastname: Brmbolić
authors.forename: I
authors.initials: I
authors.lastname: Boricić
authors.forename: D R
authors.initials: DR
authors.lastname: Salemović
authors.forename: D L
authors.initials: DL
authors.lastname: Jevtović
authors.forename: J T
authors.initials: JT
authors.lastname: Ranin
authors.forename: A
authors.initials: A
authors.lastname: Begić-Janeva
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000821:virology*; D000328:Adult; D004977:Ethambutol / Q000627:therapeutic use; D006099:Granuloma / Q000382:microbiology; D006651:Histocytochemistry; D018451:Homosexuality, Male; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D008099:Liver / Q000382:microbiology* / Q000473:pathology; D008297:Male; D009161:Mycobacterium; D011718:Pyrazinamide / Q000627:therapeutic use; D012293:Rifampin / Q000627:therapeutic use; D014376:Tuberculosis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy
chemical_list: D011718:Pyrazinamide; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin