title: Primary isolated hepatic tuberculosis.
abstract: Isolated hepatic tuberculosis without pulmonary or bowel involvement is a diagnostic challenge and can cause considerable morbidity. A young lady from Lahore presented with fever, pain in right hypochondria, nausea and weight loss. CT scan of abdomen showed multiple small hypodense non-enhancing lesions and a heterogeneous texture of liver. Biopsy confirmed the diagnosis of hepatic tuberculosis. It was concluded a case of isolated hepatic tuberculosis without evidence of other primary sites involvement. It is important to consider tuberculosis in the differential diagnosis when suspecting lymphoproliferative or metastatic diseases in a patient with vague symptoms and abnormal hepatic texture on CT.
authors.affiliation: Department of Medicine, Mayo Hospital, King Edward Medical University, Lahore.
authors.forename: Ali Sibtain
authors.initials: AS
authors.lastname: Farooq Sheikh
authors.forename: Irshad Hussain
authors.initials: IH
authors.lastname: Qureshi
authors.forename: Kanwal
authors.initials: K
authors.lastname: Saba
authors.forename: Mulazim Hussain
authors.initials: MH
authors.lastname: Bukhari
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014386:Tuberculosis, Hepatic / Q000175:diagnosis* / Q000188:drug therapy; D014463:Ultrasonography
chemical_list: D000995:Antitubercular Agents