title: Tuberculous liver abscess in a case without lung involvement.
abstract: Hepatic tuberculosis is an uncommon form of extrapulmonary tuberculosis, particularly when it presents in the form of liver abscess. Here, we report a 64-year-old man who was admitted to our hospital having experienced intermittent chills for 3 months. Aspiration of the liver abscess revealed neither bacteria nor acid-fast bacilli, but pus and granulation tissue were found. Antituberculous therapy was started empirically and cultures of the abscess confirmed the presence of Mycobacterium tuberculosis 3 weeks later. We suggest that tuberculous liver abscess should be considered in patients not showing typical features or who fail to respond to antibiotics.
authors.affiliation: Division of Gastroenterology and Hepatology, Taichung Veterans General Hospital, Taichung, Taiwan. ericest@vghtc.gov.tw
authors.forename: Shou-Wu
authors.initials: SW
authors.lastname: Lee
authors.forename: Han-Chung
authors.initials: HC
authors.lastname: Lien
authors.forename: Chi-Sen
authors.initials: CS
authors.lastname: Chang
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D006801:Humans; D008100:Liver Abscess / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification* / Q000502:physiology; D014386:Tuberculosis, Hepatic / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000995:Antitubercular Agents