Hepatic tuberculosis presenting as cholestatic jaundice. A case report.
We report three cases of hepatic tuberculosis with cholestatic jaundice. All three patients presented with cholestatic jaundice, anorexia, fever and weight loss. All had hepatomegaly. No biliary obstruction was detected. Two patients had evidence of extra hepatic tuberculosis but one had no such evidence. Diagnosis of hepatic tuberculosis was confirmed by liver biopsy. Little is known about tuberculous affecting the liver and the general belief is that it is a histopathological entity only, but these cases are a reminder of the unusual manifestation of a very common condition. All the cases recovered with anti-tuberculous treatment.
Ghoda
Manoj K
MK
Rajasthan Hospital and Sterling Hospital, Ahmedabad. mkghoda@yahoo.com
D000328:Adult; D000368:Aged; D000469:Alkaline Phosphatase / Q000097:blood; D003937:Diagnosis, Differential; D006525:Hepatitis, Viral, Human / Q000175:diagnosis; D006801:Humans; D007194:India; D041781:Jaundice, Obstructive / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D014386:Tuberculosis, Hepatic / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
D000469:Alkaline Phosphatase