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Multidrug-resistant tubercular liver abscess in β-thalassemia
Amit Agrawal1, Jyotsna Shrivastava, Akhil Singh
1Department of Pediatrics, Gandhi Medical College and Kamla Nehru Hospital, Bhopal, MP, India. Correspondence to: Dr Amit Agrawal, 28, Ravidas Nagar, Near Nizamuddin Colony, Indrapuri, Bhopal, MP 462 023, India. agrawaldramit@yahoo.co.in.
Background:
Liver abscesses in thalassemics are predominantly pyogenic.
Case Characteristics:
12-year-old thalassemic boy with abdominal pain and high grade fever for 15 days.
Observation:
CT abdomen revealed multiple liver abscesses. Pus culture and sensitivity showed multidrug-resistant mycobacteria. Patient was started on second line anti-tubercular drugs.
Outcome:
He responded well with symptomatic improvement and is doing well after 6 months of follow-up.
Message:
Liver abscess in patients with thalassemia rarely can be tubercular.
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