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Extra Pulmonary Tuberculosis Manifesting as Liver Abscess
Settipally Vinay Kumar1, Narayanasamy Senthil1, Vaasanthi Rajendran1
1General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Extrapulmonary tuberculosis presenting as a liver abscess is uncommon and requires high clinical suspicion. Diagnosis was confirmed using GeneXpert MTB testing on abscess aspirate, leading to successful anti-tubercular therapy.
Area of Science:
- Medicine
- Infectious Diseases
- Radiology
Background:
- Liver abscess is an infrequent manifestation of extrapulmonary tuberculosis.
- Nonspecific symptoms like fever, weight loss, and abdominal pain can mask this condition, necessitating a high index of suspicion.
Observation:
- A 57-year-old male, with a history of treated liver abscess, presented with abdominal pain, vomiting, and fever.
- Contrast-enhanced computed tomography (CECT) revealed a loculated liver abscess.
Findings:
- Ultrasound-guided aspiration of the abscess pus was performed.
- GeneXpert MTB assay and mycobacterial culture of the aspirate confirmed tuberculosis.
Implications:
- This case highlights the importance of considering tuberculosis in liver abscess presentations, especially in endemic areas.
- Prompt diagnosis and initiation of anti-tubercular therapy led to clinical improvement in the patient.
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