title: [A case of tuberculous liver abscess developed during chemotherapy for tuberculous peritonitis as paradoxical response].
abstract: Tuberculous liver abscesses are rare. Paradoxical response in tuberculosis is common and occurred between 2 weeks and 12 weeks after anti-tuberculous medication. We report here a case of tuberculous liver abscess that developed in a paradoxical response during chemotherapy for tuberculous peritonitis in a 23-year-old male. He was hospitalized, complaining of ascites, epigastric pain. He was diagnosed tuberculous peritonitis by expiratory laparoscopic biopsy and took medication for tuberculosis. After 2 months, a hepatic lesion was detected with CT scan incidentally. Chronic granulomatous inflammation was seen in ultrasound-guided liver biopsy, and tuberculous liver abscess was diagnosed. It was considered as paradoxical response, rather than treatment failure or other else because clinical symptoms of peritoneal tuberculosis and CT scan improved. After continuing initial anti-tuberculous medication, he was successfully treated. Herein, we report a case of tuberculous liver abscess as paradoxical response while treating peritoneal tuberculosis without changing anti-tuberculous treatment regimen.
authors: Department of Internal Medicine, Pusan National University School of Medicine, Yangsan, Korea.
authors: Tae Kyung
authors: TK
authors: Kim
authors: Cheol Woong
authors: CW
authors: Choi
authors: Jong Kun
authors: JK
authors: Ha
authors: Hyung Ha
authors: HH
authors: Jang
authors: Su Bum
authors: SB
authors: Park
authors: Hyung Wook
authors: HW
authors: Kim
authors: Dae Hwan
authors: DH
authors: Kang
mesh_terms: D000995:Antitubercular Agents / Q000009:adverse effects* / Q000627:therapeutic use*; D004269:DNA, Bacterial / Q000032:analysis; D006801:Humans; D010535:Laparoscopy; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology; D008100:Liver Abscess / Q000139:chemically induced* / Q000175:diagnosis* / Q000382:microbiology; D008297:Male; D009169:Mycobacterium tuberculosis / Q000235:genetics / Q000302:isolation & purification; D009336:Necrosis / Q000473:pathology; D010537:Peritoneum / Q000473:pathology; D014395:Peritonitis, Tuberculous / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000175:diagnosis* / Q000382:microbiology; D014463:Ultrasonography; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents; D004269:DNA, Bacterial