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Published on: September 5, 2017
Unusual spread of TB: A case report of hepatic tuberculosis
Made Agatrini Nugia Pramesti1, M Hidayat Surya Atmaja1
1Department of Radiology, Faculty of Medicine Airlangga University, Dr. Soetomo General Hospital Surabaya.
Abstract:
Tuberculosis (TB) is prevalent in underdeveloped and developing countries, mainly in rural areas, with indistinct clinical manifestations. Lungs are the most affected organs; however, tuberculosis may invade almost all human body systems, including the liver. We provided a case study of a young male adult with hepatic tuberculosis. The diagnosis was established by discovering hypodense nodules with rim enhancement in the liver on CT scan and granulomatous inflammation with caseating necrosis on biopsy. Although having unspecified clinical manifestations, novel liver imaging, combined with pathology examination, is capable of depicting the nature of this entity. Regarding the fact that Mycobacterium tuberculosis culturing may be challenging in most settings, imaging plays a vital role in diagnosing, treatment guiding, and patient follow-ups.
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