title: Pulmonary tuberculosis combined with hepatic tuberculosis: a case report and literature review.
abstract: OBJECTIVE
  Tuberculosis, a chronic infectious disease caused by Mycobacterium tuberculosis, may invade all organs but mainly affect lungs. Most hepatic tuberculosis could be a part of systemic miliary tuberculosis.
  
  
  METHODS
  We reported a case of pulmonary tuberculosis combined with hepatic tuberculosis and reviewed the relevant literature.
  
  
  RESULTS
  A 40-year-old Chinese male with fatigue for half a year and cough as well as night sweat for 2 months was admitted to our hospital. The chest computed tomography (CT) showed multiple nodules combined with bronchial stenosis and lymphadenectasis in the mediastina at the right hilum of lung. The epigastrium CT showed lumps in the liver and retroperitoneal lymphadenectasis in the peritoneal cavity. The abdominal color Doppler ultrasound revealed lumps in the liver. The lung and liver puncture biopsy revealed granulomatous lesions, chronic inflammatory changes in the strip-like fibrous tissues and plenty of caseification, all of which suggest the diagnosis of tuberculosis.
  
  
  CONCLUSIONS
  Hepatic tuberculosis is usually associated with atypical clinical manifestations. Imageological examination combined with imaging-guided fine needle aspiration biopsy may be the best method for the confirmed diagnosis.
authors.affiliation: Guizhou Aerospace Hospital, Institute of Respiratory Medicine, Zunyi, China.
authors.forename: Jiang-Rong
authors.initials: JR
authors.lastname: Liao
authors.affiliation: Guizhou Aerospace Hospital, Institute of Respiratory Medicine, Zunyi, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Zhang
authors.affiliation: Xinqiao Hospital, Institute of Respiratory Medicine, Third Military Medical University, Chongqing, China.
authors.forename: Xue-Ling
authors.initials: XL
authors.lastname: Wu
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D015897:Comorbidity; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014386:Tuberculosis, Hepatic / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D018615:Ultrasonography, Doppler, Color
chemical_list: D000995:Antitubercular Agents
keywords: case report; hepatic tuberculosis; pulmonary tuberculosis