Isolated tuberculous liver abscess in an immunocompetent adult patient: A case report and literature review.
Tuberculous liver abscess is a rare disease entity even in endemic areas of Mycobacterium tuberculosis. It is usually accompanied by pulmonary tuberculosis or enteric tuberculosis. Further, an isolated tuberculous liver abscess is extremely rare. The disease is diagnosed by laparotomy or postmortem autopsy in most cases, and some authors adopted a 9-month antituberculosis regimen. We herein report a case of an isolated tuberculous liver abscess that initially manifested as persistent fever and general malaise, which was diagnosed by liver biopsy and treated successfully with a 6-month antituberculosis regimen and percutaneous abscess drainage.
Division of Infectious Diseases, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan; Infection Control Committee, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan.
Tsung-Chia
TC
Chen
Division of Gastroenterology, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan.
Ling-Tai
LT
Chou
Division of Chest Medicine, Department of Internal Medicine, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan.
Chen-Cheng
CC
Huang
Department of Radiology, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan.
An-Bang
AB
Lai
Division of Infectious Diseases, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan. Electronic address: wangjenhsien@gmail.com.
Jen-Hsien
JH
Wang
D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use*; D001706:Biopsy; D001774:Blood Chemical Analysis; D004338:Drug Combinations; D004977:Ethambutol / Q000627:therapeutic use*; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use*; D007813:Laparotomy; D008099:Liver / Q000473:pathology; D008100:Liver Abscess / Q000382:microbiology*; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D011718:Pyrazinamide / Q000627:therapeutic use*; D012293:Rifampin / Q000627:therapeutic use*; D014376:Tuberculosis / Q000175:diagnosis* / Q000382:microbiology
D000995:Antitubercular Agents; D004338:Drug Combinations; C087181:isoniazid, pyrazinamide, rifampin drug combination; D011718:Pyrazinamide; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin
Immunocompetent; Liver abscess; Mycobacterium tuberculosis