Abstract
INTRODUCTION: Tuberculosis is a rare cause of liver abscess in the Indian subcontinent even though the disease itself has high prevalance rates here. Isolated tubercular liver abscess presenting without any other foci of infection is a rare presentation with a documented prevalence of 0.34%. In an adult immune competent patient diagnosis can be challenging as it is likely to be confused with pyogenic and amoebic liver abscess or hepatoma. CASE HISTORY: A 30 year old female patient presented with complaints of low grade fever, vague abdominal pain of 4 months duration, breathlessness and loss of appetite for 1 month. Past or family history was non-contributory. Ultrasonography abdomen revealed a small hypoechoic lesion in sub-hepatic region of size 49x20mm suggestive of a liver abscess. Computerized Tomographic scan images confirmed loculated irregular collections in and around left lobe of liver and Reidel’s lobe. Fine needle aspiration cytology from the lesion revealed ill formed granulomas on a necrotic background. Zeihl Neelson staining was positive for acid fast bacilli CONCLUSION: Isolated tubercular liver abscess is a rare entity, particularly in immunocompetent individuals.Symptomatology and radiologic findings may not be contributory. Diagnosis of this entity rests on the demonstration of acid fast bacilli in material obtained. FNAC is a simple minimally invasive, cost effective procedure which helps attain the same. DOI: 10.21276/APALM.1382
Highlights
Tuberculosis is a rare cause of liver abscess in the Indian subcontinent even though the disease itself has high prevalance rates here
Symptomatology and radiologic findings may not be contributory. Diagnosis of this entity rests on the demonstration of acid fast bacilli in material obtained
Isolated tubercular liver abscess is a rare entity seen in 0.34% of cases with hepatic tuberculosis.[2]
Summary
Isolated tubercular liver abscess is a rare entity, in immune-competent individuals. Symptomatology and radiologic findings may not be contributory Diagnosis of this entity rests on the demonstration of acid fast bacilli in material obtained and FNAC is a simple minimally invasive, cost effective procedure which helps achieve this, where resources are limited and modalities like polymerase chain reaction (PCR), though available are expensive. Isolated tubercular liver abscess is a rare entity, in immunocompetent individuals. Isolated Tubercular Subcapsular Liver Abscess: A Rare Manifestation of Extrapulmonary Tuberculosis. Isolated liver tuberculosis abscess in a patient without immunodeficiency: A case report. Date of Submission : 04.04.2017 Date of Acceptance : 10.07.2017 Date of Publication : 20.10.2017 www.pacificejournals.com/apalm
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
