[Pseudo-tumoral hepatic tuberculosis developing into a multinodular form despite treatment].
Localized macronodular tuberculosis of the liver is rare. In this location antituberculosis therapy results in a favorable clinical evolution in 100% of cases. We report a pseudo-tumoral form of this condition with no specific clinical, biological or radiological data. After ultrasound guided needle aspiration cytology suggesting metastasis, the correct diagnosis was obtained on liver biopsy after laparotomy. After what was probably inadequate therapy, the enlargement of several hepatic and splenic macronodules was observed. After two years and eight months, the clinical condition of the patient was good but radiological features remained. The risk of diagnostic errors and the therapeutic difficulties in the zones where the incidence of tuberculosis is low should be noted.
Ibanez Martin
Pascale
P
Service de Gastro-Entérologie et d'Hépatologie, Hôpital de Bellevue, CHU Saint-Etienne. pascale.ibanez@caramail.com
Fresard
Anne
A
Cuilleron
Muriel
M
Peoc'h
Michel
M
Patouillard
Brigitte
B
Prost
Bénédicte
B
Audigier
Jean-Christian
JC
D000995:Antitubercular Agents / Q000627:therapeutic use*; D001706:Biopsy; D003937:Diagnosis, Differential; D018450:Disease Progression; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D014386:Tuberculosis, Hepatic / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents