DIG-WS-36 Tuberculose hepatique primitive : a propos de 10 cas

Nassar, I.; Errabih, I.; Krami, I.; Hammani, L.; Ouazzani, H.; Imani, F.

doi:10.1016/s0221-0363(07)81728-8

Cited by 1 publication

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“…The average age of patients with hepatic tuberculosis was 30 years with extremes ranging from 17 -50 years [2]. No difference in frequency in both sexes [3] [4] [5], although in a series of cases (14 cases of hepatic tuberculosis collected in the gastroenterology department of Ibn Rochd Hospital, Casablanca between January 1990 and January 2001) they noted a clear female predominance with 12 women for 2 men, a sex ratio of 0.16 [6].…”

Section: Discussionmentioning

confidence: 99%

“…The fever can take different aspects: moderate or very high; it is frequent but not constant, and persists [2] in the absence of a specific treatment. Fever was reported in 65% of cases by Alvarez [13], and 66%, 90% and 63% respectively by Essop, Hersh and Maharaj according to the Alvarez metanalysis.…”

Section: Discussionmentioning

confidence: 99%

“…Serum alkaline phosphatase activity is increased to 1.5 to 5 times the upper limit of normal in 50% to 75% [19]. Tuberculin reactions are often positive or phlyctenular [2]; but their negativity can in no way constitute an argument against the diagnosis of this affection.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Localization of Tuberculosis: A Case Report and a Review of the Literature

Mouhafid¹,

Elhjouji²,

Fahssi³

et al. 2021

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The hepatic tuberculosis is rare. The interest of this Knowledge consists in the diagnostic problems particularly in its primitive and macronodular forms. It touches all ages with a peak of frequency during 17 -50 years old, and a female prevalence. The clinical picture is polymorphous but it is still dominated by the prolonged fever and the alteration of the general state. Case report: 30-year-old female was admitted to our hospital with painless swelling on the right side of chest and feeling of pressure in the right upper quadrant of abdomen. She has no history of fever, weight loss, and night sweating or poor appetite. On clinical examination, the patient was in good general condition. The inflammatory tumefaction of the right chest wall was marked. The palpation of the abdomen revealed a sensitive hepatomegaly. A CT scan revealed a large cystic liver. The laboratory investigations were normal. This appearance was suggestive of a hydatid cyst of the right liver and a surgical management was decided. But the histological study revealed granulomatous inflammation consisting of tuberculoid type granuloma with caseous necrosis. However, abscess of the liver due to MT was highly suspected and anti-tuberculosis therapy was started, the patient responded well. Conclusion: The analysis of this observation and the data of the literature make it possible to retain the rarity; the polymorph expression and not very suggestive of this location.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%