1995
DOI: 10.1136/pgmj.71.838.490
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Liver abscess and disseminated intravascular coagulation in tuberculosis

Abstract: SummaryWe report the case of a 55-year-old man with chronic renal failure, and a history of prolonged fever and jaundice. Radiological studies revealed a multiloculated irregular liver abscess. Mycobacterium tuberculosis was isolated from the abscess on smear and culture of aspirated pus. Haematological studies revealed the presence of disseminated intravascular coagulation. A detailed search failed to identify any reason for this other than the tuberculous infection. The treatment of tuberculous liver abscess… Show more

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Cited by 19 publications
(12 citation statements)
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“…On contrast-enhanced images, early-stage lesions may demonstrate central enhancement (Fig 39) whereas more advanced lesions may demonstrate calcification (58,(66)(67)(68)(69)(70). Miliary hepatosplenic disease manifests as multiple tiny, low-attenuation foci at CT.…”
Section: Liver and Spleenmentioning
confidence: 99%
“…On contrast-enhanced images, early-stage lesions may demonstrate central enhancement (Fig 39) whereas more advanced lesions may demonstrate calcification (58,(66)(67)(68)(69)(70). Miliary hepatosplenic disease manifests as multiple tiny, low-attenuation foci at CT.…”
Section: Liver and Spleenmentioning
confidence: 99%
“…Tuberculosis alone has also been implicated in disseminated intravascular coagulation. 16 The prognosis of Hodgkin's disease with HIV infection is almost certainly worse than for those without HIV, although published comparisons fail to match patients for age and disease stage. HIV seropositive patients present with more advanced disease than Hodgkin's disease patients without HIV infection.…”
Section: Discussion Of Pathological Diagnosis (Dr a Winter And Dr K Wmentioning
confidence: 99%
“…1 Tubercle bacilli reach the liver by hematogenous dissemination, the portal of entry in the case of hepatic miliary tuberculosis is the hepatic artery, whereas in the case of focal liver tuberculosis it is the portal vein. 3 The rarity of the focal form of hepatic tuberculosis may be because of the relatively low hepatic tissue oxygen tension.…”
Section: Discussionmentioning
confidence: 99%
“…1 Isolated TLA is a rare entity and only few cases have been reported in the literature. 2 Here, we report two cases of isolated TLA in the pediatric age group, which were successfully treated with antituberculous drugs.…”
Section: Introductionmentioning
confidence: 99%