Open AccessTubercular granuloma mimicking pyogenic liver abscess
Author(s) -
Mohit Garg,
Yasmeen Khan,
Monika Pathania
Publication year - 2020
Publication title -
journal of family medicine and primary care
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_630_19
Subject(s) - medicine , tuberculoma , differential diagnosis , tuberculosis , pyogenic granuloma , liver abscess , granuloma , abscess , miliary tuberculosis , hepatic abscess , pyogenic liver abscess , surgery , liver biopsy , biopsy , radiology , lesion , pathology
Hepatic Tuberculosis (TB) is extremely rare without miliary involvement in immunocompetent patients. Even in countries like India where TB is a major public health problem only few cases have been diagnosed and treated. We report a case of an immunocompetent patient who presented with undiagnosed pyrexia of 11 days, was initially diagnosed as pyogenic liver abscess, he did not responded to treatment and on liver biopsy was diagnosed as hepatic tuberculoma. Antitubercular treatment (ATT) was started and the patient responded well. We concluded that though hepatic TB is rare in immunocompetent patient, it is important to keep it as a differential diagnosis in patients of liver abscesses who are not responding to treatment in order to avoid needless investigations.