title: Tubercular liver abscess in immuno-competent patients.
abstract: We report two cases, the first one a 35 years old male, chronic alcoholic, and the other, a 15 years old boy, who presented to us with fever, Rt. hypochondrial pain, with USG-Abdomen revealing multiple liver abscesses in the first, and a single large abscess in the second. Both patients showed leucocytosis and, mildly deranged Liver Function Tests. Aspirated pus was sterile, and the patients did not show any clinical improvement despite broad spectrum antibiotics and amoebicides. Re-aspiration of pus after two weeks revealed the presence of Mycobacterium tuberculosis and both patients showed a dramatic improvement clinically after starting Anti-tubercular treatment. These cases are being reported because of the rarity of tubercular liver abscesses, and the importance of suspecting mycobacterial infection in patients of liver abscess not responding to conventional treatment.
authors: P.G. Department of Medicine, S.N. Medical College, Agra.
authors: Balvir
authors: B
authors: Singh
authors: Pritul D
authors: PD
authors: Saxena
authors: Vinay
authors: V
authors: Kumar
authors: Devendra
authors: D
authors: Yadav
authors: Preeti
authors: P
authors: Rajpoot
mesh_terms: D000293:Adolescent; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D004322:Drainage; D006801:Humans; D016867:Immunocompromised Host; D008100:Liver Abscess / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology*; D008111:Liver Function Tests; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D016896:Treatment Outcome; D014386:Tuberculosis, Hepatic / Q000175:diagnosis* / Q000188:drug therapy; D014463:Ultrasonography
chemical_list: D000995:Antitubercular Agents