Isolated tuberculous liver abscess in a patient with asymptomatic stage I sarcoidosis.
Sarcoidosis is a multi-system disorder characterized by non-caseating granulomas. Depressed cellular immunity predisposes patients to infections with certain intracellular organisms, mostly fungi, Mycobacterium tuberculosis, and Nocardia species. Isolated liver tuberculosis is a rare condition, and atypical clinical presentation challenges the clinical acumen of the treating physician. Liver sarcoidosis is usually unsuspected and confused with primary or metastatic liver carcinoma. We describe a case of isolated tuberculous liver abscess without pulmonary spread in a patient with asymptomatic stage I sarcoidosis.
Department of Respiratory Medicine, Nil Ratan Sircar Medical College and Hospital, Rabindra Pally, 1st Lane, Nimta Kolkata, West Bengal, India. drssupriyo@yahoo.co.in
Supriya
S
Sarkar
Kaushik
K
Saha
Chandra Shekhar
CS
Das
D000328:Adult; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D008297:Male; D012507:Sarcoidosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014386:Tuberculosis, Hepatic / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy