Hepatic tuberculosis: myriad of hues

Choudhury, Arup; Shukla, Jayendra; Mahajan, Gaurav; Jha, Daya Krishna; Gupta, Pankaj; Sharma, Vishal

doi:10.18683/germs.2021.1266

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…Although not many cases were reported about the role of X pert MTB/RIF in the diagnosis of hepatic tuberculosis [10,11] , it proved to be particularly useful when the clinical suspicion is high and is the key to a precocious management and a better evolution.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Dilemma of Hepatic Tuberculosis in Presence of Portal Hypertension: A Rare and Relevant Case

Aharbil¹,

Boudda²,

Errami³

et al. 2022

ijirms

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Tuberculosis (TB) is and remains a growing public health problem worldwide, especially in developing countries. Hepatic tuberculosis is an extremely rare form of extra pulmonary TB. Our case report describes hepatic tuberculosis revealed by an atypical sign: portal hypertension (PHT) in a Moroccan immuno competent young man. Case Report: A 28-year-old male with no medical history, was admitted with an abundant ascites, and a chronic right hypochondrium pain. The biology data found a low protein concentration ascitic fluid with signs of portal hypertension in the abdominal ultra sound (US). An abdominal CT scan demonstrated a multi nodular liver with profound multiple lymph nodes some with a necrotic center. The diagnosis of multifocal tuberculosis was clinched on by the positivity of Xpert MTB/RIF assay on sputum and on hepatic needle biopsy. Conclusion: Portal hypertension secondary to hepatic tuberculosis is exceptional and often causes a diagnostic dilemma. It should be considered in the differential diagnosis of non-cirrhotic portal hypertension especially in endemic areas.

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Section: Discussionmentioning

confidence: 99%

Diagnostic Dilemma of Hepatic Tuberculosis in Presence of Portal Hypertension: A Rare and Relevant Case

Aharbil¹,

Boudda²,

Errami³

et al. 2022

ijirms

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“…Para estos escenarios, la sintomatología más frecuente suele ser el dolor en el cuadrante superior derecho, anorexia, pérdida de peso y fiebre. No obstante, en la literatura se describe la dificultad del diagnóstico por la similitud del cuadro clínico e imagenológico con otras patologías bien descritas y más comunes, como la colangitis, carcinoma hepatocelular y colangiocarcinoma (6) .…”

Section: Introductionunclassified

Tuberculosis hepática primaria: a propósito de un caso

Acevedo Rodríguez,

Collado Rodríguez,

Fernández Genao

et al. 2023

Rev. colomb. Gastroenterol.

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Se trata de un hallazgo incidental de tuberculosis primaria en el hígado en una paciente femenina de 54 años con historia de múltiples ingresos por síntomas de dolor abdominal, ictericia, fiebre persistente, náuseas acompañadas de vómitos de contenido gástrico, pérdida de peso y astenia. A la evaluación se consideraron los diagnósticos diferenciales de colangiocarcinoma, enfermedad de Caroli, carcinoma hepatocelular y tuberculosis hepática, basados en anamnesis, estudios de imágenes y pruebas de gabinete. Este reporte de caso brinda una nueva perspectiva diagnóstica para el personal de salud que reciba pacientes con esta presentación ambigua, aun en el contexto de baja incidencia epidemiológica. La tuberculosis hepática debe ser considerada en el diagnóstico diferencial de pacientes con lesiones focales a nivel intrahepático o abscesos hepáticos con hospitalizaciones recurrentes y evidencia de imágenes.

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