Vreede R W, Bolwerk C J, Eulderink F, Bac D J
Afd. Medische Microbiologie, Reinier de Graaf Gasthuis, Reinier de Graafweg 3-11, 2625 AD Delft.
Ned Tijdschr Geneeskd. 2001 Mar 17;145(11):535-8.
A 44-year-old male Somalian immigrant was admitted to hospital for evaluation of upper abdominal pain and painful joints (neck and shoulders). Chronic active hepatitis caused by hepatitis C virus was diagnosed. Further examination was instituted because of the simultaneous finding of granulomas in a liver biopsy. In hepatitis C liver granulomas may be found. Infection by Mycobacterium tuberculosis was established, however, after extensive investigation. Treatment was started with tuberculostatic drugs, after which the complaints of the patient disappeared, liver enzyme levels decreased and granulomas in the liver disappeared. No side effects of the tuberculostatic treatment were seen on the course of the hepatitis C.
一名44岁的索马里男性移民因上腹部疼痛和关节（颈部和肩部）疼痛入院接受评估。诊断为丙型肝炎病毒引起的慢性活动性肝炎。由于在肝活检中同时发现肉芽肿，因此进行了进一步检查。丙型肝炎时可能会发现肝脏肉芽肿。然而，经过广泛调查后确诊为结核分枝杆菌感染。开始使用抗结核药物治疗，此后患者的症状消失，肝酶水平下降，肝脏中的肉芽肿消失。抗结核治疗过程中未发现对丙型肝炎病情有副作用。
