Pseudotumoral hepatic tuberculosis with pericardial abscess

Abstract

We report the postmortem findings in a 28-year-old immunocompetent male patient, a rare case of tuberculous liver abscesses with concomitant pericardial abscess in the absence of pleuropulmonary or splenic involvement, who continued to be a diagnostic dilemma. This case report illustrates the difficulty in reaching the correct diagnosis in case of hepatic masses, which are most often confused with carcinoma of the liver, primary or metastatic and, hence, have been aptly referred to as pseudotumoral hepatic tuberculosis in the past.

A systematic review of hepatic tuberculosis with considerations in human immunodeficiency virus co-infection

“…Approximately 79% of all reported hepatic TB cases were due to systemic dissemination of bacilli, called miliary hepatic TB. However, several cases of local hepatic TB, which are isolated infections of the liver, have been reported in South Africa, the Philippines, and India [ 11 , 13 - 16 ]. Since hepatic TB is underreported in published literature, any regional clustering of described hepatic TB cases may reflect a reporting bias, and the distribution of hepatic TB likely mirrors the global epidemiology of active pulmonary TB cases.…”

Staphylococcus aureusPericardial Abscess Presenting as Severe Sepsis and Septic Shock After Acupuncture Therapy

“…A pericardial abscess by Staphylococcus aureus is rarer1-3) and to our knowledge, this is the first case report of a pericardial abscess as a complication of staphylococcal bacteremia in Korea.…”

Pseudo-Tumoral Hepatic Tuberculosis Discovered After Surgical Resection

“…1 The healing of the primary focus leaves no traces when the liver is involved. 6 Tuberculoma could result from agglutination of several hepatic granulomas. 7 Clinical signs of the pseudo-tumoral form of liver tuberculosis are non-specific and often misleading.…”