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非免疫功能低下患者的孤立性结核性肝脓肿。

Isolated tuberculous hepatic abscess in a non-immunocompromised patient.

作者信息

Balsarkar D, Joshi M A

机构信息

Department of Surgery, Division of Surgical Gastroenterology, L. T. M. Medical College, Sion, Mumbai - 400 022, India.

出版信息

J Postgrad Med. 2000 Apr-Jun;46(2):108-9.

Abstract

A 38 years old female presented with pain in the epigastrium, jaundice and fever since one and half month. The computerised tomographic scan of the abdomen revealed a multiloculated abscess of the left lobe of liver. The pus drained from the liver abscess at laparotomy showed acid fast bacilli on microscopy. A detailed search failed to identify any other focus of tuberculous infection. The case has been reported for the rarity of isolated hepatic tuberculous abscess and its presentation with jaundice, a rare feature, and to highlight the importance of microscopic or culture diagnosis in a suspected case of pyaemic abscess.

摘要

一名38岁女性自一个半月前开始出现上腹部疼痛、黄疸和发热症状。腹部计算机断层扫描显示肝脏左叶有一个多房性脓肿。剖腹手术时从肝脓肿引流的脓液在显微镜检查下发现抗酸杆菌。详细检查未能发现任何其他结核感染病灶。该病例因孤立性肝结核脓肿罕见且伴有黄疸这一罕见特征而被报道,同时强调了在疑似脓毒症性脓肿病例中进行显微镜检查或培养诊断的重要性。

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