[Hepatic-splenic micobacteriosis, unusual form of probable extrapulmonary tuberculosis. Case report and review].
We report a 42 years old HIV negative male admitted for fever of unknown origin. Initial laboratory evaluation showed elevated hepatic transaminases and alkaline phosphatase and an hipodense hepatic imagen was visualized in the CT scan. Hepatic biopsy demonstrated tuberculous granulomas and alcohol fast acid rods with Ziehl Neelsen stain. Anti-tuberculous treatment resulted in resolution of fever, improvement of general condition and normalization of laboratory parameters.
Velásquez M
Juan
J
Servicio de Medicina Interna, Hospital Barros Luco Trudeau, Santiago, Chile. yesterday67@yahoo.com
Szigethi Q
Muschi
M
Panace V
Rita
R
Morales I
Ricardo
R
Márquez C
Silvia
S
Pefaur P
Jacqueline
J
Mocarquer M
Alfredo
A
Salinas C
Pedro
P
Beltrán B
Carlos
C
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use*; D001706:Biopsy; D005335:Fever of Unknown Origin / Q000382:microbiology; D018023:HIV Seronegativity; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D014386:Tuberculosis, Hepatic / Q000175:diagnosis* / Q000188:drug therapy; D014400:Tuberculosis, Splenic / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents