Isolated tuberculous liver abscess in an immunocompetent adult patient: A case report and literature review

J Microbiol Immunol Infect. 2016 Jun;49(3):455-8. doi: 10.1016/j.jmii.2013.09.003. Epub 2013 Nov 11.

Abstract

Tuberculous liver abscess is a rare disease entity even in endemic areas of Mycobacterium tuberculosis. It is usually accompanied by pulmonary tuberculosis or enteric tuberculosis. Further, an isolated tuberculous liver abscess is extremely rare. The disease is diagnosed by laparotomy or postmortem autopsy in most cases, and some authors adopted a 9-month antituberculosis regimen. We herein report a case of an isolated tuberculous liver abscess that initially manifested as persistent fever and general malaise, which was diagnosed by liver biopsy and treated successfully with a 6-month antituberculosis regimen and percutaneous abscess drainage.

Keywords: Immunocompetent; Liver abscess; Mycobacterium tuberculosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Antitubercular Agents / therapeutic use*
  • Biopsy
  • Blood Chemical Analysis
  • Drug Combinations
  • Ethambutol / therapeutic use*
  • Humans
  • Isoniazid / therapeutic use*
  • Laparotomy
  • Liver / pathology
  • Liver Abscess / microbiology*
  • Male
  • Mycobacterium tuberculosis / isolation & purification*
  • Pyrazinamide / therapeutic use*
  • Rifampin / therapeutic use*
  • Tuberculosis / diagnosis*
  • Tuberculosis / microbiology

Substances

  • Antitubercular Agents
  • Drug Combinations
  • isoniazid, pyrazinamide, rifampin drug combination
  • Pyrazinamide
  • Ethambutol
  • Isoniazid
  • Rifampin