Primary hepatic tuberculosis in immunocompetent adults: a UK case series

Primary hepatic tuberculosis (TB) is very rare in the UK, but the incidence may be rising. Three cases of primary hepatic TB in immunocompetent patients without evidence of pulmonary involvement are reported. The diagnosis was challenging as two patients had liver space-occupying lesions, and the third patient presented with liver abscess. All of them responded well to standard anti-tubercular treatment. Hepatic TB should be considered in the differential diagnosis of space-occupying lesions of the liver and liver abscesses.