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A Case Report on Fever of Unknown Origin in a 10-Year-Old: Tubercular Liver Abscess

Sumita Biswas1, Md Wahiduzzaman Mazumder2, Uma Gupta3

  • 1Pediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, BGD.

Cureus
|April 17, 2024
PubMed

Insights

Pediatric liver tuberculosis is rare but treatable. Early diagnosis via liver biopsy and targeted therapy can resolve symptoms in children with tubercular liver abscesses.

Area of Science:

  • Pediatric Infectious Diseases
  • Hepatology
  • Microbiology

Background:

  • Liver tuberculosis is an uncommon presentation in pediatric patients.
  • Solitary tubercular liver abscesses require multidisciplinary management.

Observation:

  • A previously healthy 10-year-old male presented with fever of unknown origin.
  • Diagnostic workup revealed a tubercular liver abscess.

Findings:

  • Liver biopsy with immunohistochemistry confirmed the presence of tubercular pathogens.
  • Targeted anti-tuberculosis therapy led to complete resolution of fever.

Implications:

  • Highlights the importance of considering liver tuberculosis in febrile children.
  • Emphasizes the need for early diagnosis and collaborative treatment approaches.
  • Suggests immunohistochemistry as a valuable diagnostic tool for hepatic tuberculosis.

Keywords:
: liver abscess: tuberculosisascitic fluid analysisfever of unkownpediatric gastroenterology

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