A case of primary solitary tuberculoma of the liver treated with antituberculosis chemotherapy and surgical excision / 대한내과학회지
Korean Journal of Medicine
; : 77-81, 2001.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-105794
Biblioteca responsável:
WPRO
ABSTRACT
The solitary form of primary hepatic tuberculosis is a rare disease. We report an unusual case of primary solitary hepatic tuberculosis treated with surgical resection and second-line antituberculosis chemotherapy due to the recurrence after first-line antituberculosis chemotherapy alone. A 36-year-old man was presented with right upper abdominal discomfort, chills and weight loss for 2 months. Computerized tomography demonstrated the solitary space occupying lesion on the left lobe of liver suggesting a malignant disease. The open biopsy revealed chronic granulomatous inflammation with multinucleated giant cells and caseous necrosis. The patient was treated with antituberculosis chemotherapy for nine months and eighteen months respectively with the interval of eighteen months. But the hepatic lesion had become larger and symptoms were aggravated after the discontinuation of therapy. He underwent surgical excision of the lesioin. With second-line antituberculosis chemotherapy, the symptoms improved in postoperative days. Twenty four months later, no evidence of recurrence was noted in symptoms, laboratory findings and imaging studies.
Texto completo:
Disponível
Contexto em Saúde:
Doenças Negligenciadas
Problema de saúde:
Doenças Negligenciadas
/
Tuberculose
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Recidiva
/
Tuberculoma
/
Tuberculose Hepática
/
Biópsia
/
Redução de Peso
/
Células Gigantes
/
Calafrios
/
Doenças Raras
/
Tratamento Farmacológico
/
Inflamação
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Ano de publicação:
2001
Tipo de documento:
Artigo