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The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient
BACKGROUND/AIM: Tuberculosis (TB) is a chronic infectious disease which affects millions. The most affected system is the respiratory. Thus, hepatic TB (HTB) without involvement of other organs is not common. Its clinical manifestations are not specific, and both imaging and histopathological findin...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7557907/ https://www.ncbi.nlm.nih.gov/pubmed/33083083 http://dx.doi.org/10.1155/2020/7915084 |
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author | Garmpis, Nikolaos Damaskos, Christos Garmpi, Anna Liakea, Aliki Mantas, Dimitrios |
author_facet | Garmpis, Nikolaos Damaskos, Christos Garmpi, Anna Liakea, Aliki Mantas, Dimitrios |
author_sort | Garmpis, Nikolaos |
collection | PubMed |
description | BACKGROUND/AIM: Tuberculosis (TB) is a chronic infectious disease which affects millions. The most affected system is the respiratory. Thus, hepatic TB (HTB) without involvement of other organs is not common. Its clinical manifestations are not specific, and both imaging and histopathological findings are necessary for the diagnosis. The differential diagnosis includes primary and metastatic liver malignancies. Our aim is to describe the rare entity of HTB via a case presentation. Patient and Methods. We report a case of a 50-year-old female with abdominal pain, weight loss, fever, and anorexia. All imaging methods described a liver lesion. She underwent right lobe hepatectomy, and the histological evaluation demonstrated granuloma with central caseous necrosis. RESULTS: Seven months postoperatively, the patient remains fit and healthy. CONCLUSION: HTB is a rare entity with no specific symptoms, signs, and no laboratory nor imaging findings. It can be managed effectively if diagnosed in time or lead to death if left untreated. |
format | Online Article Text |
id | pubmed-7557907 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-75579072020-10-19 The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient Garmpis, Nikolaos Damaskos, Christos Garmpi, Anna Liakea, Aliki Mantas, Dimitrios Case Rep Surg Case Report BACKGROUND/AIM: Tuberculosis (TB) is a chronic infectious disease which affects millions. The most affected system is the respiratory. Thus, hepatic TB (HTB) without involvement of other organs is not common. Its clinical manifestations are not specific, and both imaging and histopathological findings are necessary for the diagnosis. The differential diagnosis includes primary and metastatic liver malignancies. Our aim is to describe the rare entity of HTB via a case presentation. Patient and Methods. We report a case of a 50-year-old female with abdominal pain, weight loss, fever, and anorexia. All imaging methods described a liver lesion. She underwent right lobe hepatectomy, and the histological evaluation demonstrated granuloma with central caseous necrosis. RESULTS: Seven months postoperatively, the patient remains fit and healthy. CONCLUSION: HTB is a rare entity with no specific symptoms, signs, and no laboratory nor imaging findings. It can be managed effectively if diagnosed in time or lead to death if left untreated. Hindawi 2020-10-06 /pmc/articles/PMC7557907/ /pubmed/33083083 http://dx.doi.org/10.1155/2020/7915084 Text en Copyright © 2020 Nikolaos Garmpis et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Garmpis, Nikolaos Damaskos, Christos Garmpi, Anna Liakea, Aliki Mantas, Dimitrios The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
title | The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
title_full | The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
title_fullStr | The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
title_full_unstemmed | The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
title_short | The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
title_sort | unexpected diagnosis of hepatic tuberculosis in an immunocompetent patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7557907/ https://www.ncbi.nlm.nih.gov/pubmed/33083083 http://dx.doi.org/10.1155/2020/7915084 |
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