title: Hepatic lesions in an elderly woman - cancer isn't always the answer.
abstract: Multiple hepatic lesions in an elderly woman usually suggest metastatic malignant disease, in most situations already beyond cure. However, we present the case of an 81-year-old female in whom histopathology verified granulomas and PCR proved hepatic tuberculosis. Tuberculostatic quadruple therapy resulted in complete remission. Isolated hepatic tuberculosis is rare, especially in HIV-negative subjects living in areas of low tuberculosis prevalence. This case highlights the need to histopathologically confirm malignancy as withholding therapy would have been deleterious in this curable patient.
authors.affiliation: Dept. of Medicine I, AcademicTeaching Hospital Herford. Sylvia.Zayer@Klinikum-Herford.de
authors.forename: S
authors.initials: S
authors.lastname: Zayer
authors.forename: B
authors.initials: B
authors.lastname: Koberstein
authors.forename: T
authors.initials: T
authors.lastname: Pohle
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome; D014386:Tuberculosis, Hepatic / Q000175:diagnosis* / Q000188:drug therapy*
chemical_list: D000995:Antitubercular Agents