Tuberculous abscess : an uncommon manifestation of hepatic tuberculosis a case report / Sherry Lynn P. Santiago.

Includes appendices and bibliographical references.

ABSTRACT: The term hepatobiliary tuberculosis refers to the localized from of hepatic tuberculosis as a district clinical entity, with signs and symptoms related to the hepatobiliary tract. Plain abdominal readiographs showing diffuse hepatic calcifications seen in approximately 50% fo cases are almost diagnostic for hepatobiliary tuberculosis. Liver biopsis guided either by ultrasound, computed tomography or laparoscopy, showing caseating granuloma usually establish the diagnosis. In the absence of caseastion necrosis, a positive acid-fast hacillus (AFB) or culture for Mycobacterium tuberculosis is needed to establish the diagnosis. Treatment is similar to that use for pulmonary tuberculosis. Quadruple therapy (using four anti-tuberculosis drugs) is recommended, generally for 1 year. We are presented with a 22 year old female, who presented with abdominal pain and fever and was diagnosed and managed as a case of Hepatic Tuberculosis Abscess. Patient was given quadruple anti-TB drugs and ultrasound guided aspiration of the abscess was done.

Research - Department of Medicine