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免疫功能正常的成年人结核性肝脓肿的不典型表现

Unusual Presentation of Tubercular Liver Abscess in an Immune-Competent Adult.

作者信息

Kumar Pramod, Taneja Sunil, Gupta Kirti, Duseja Ajay, Dhiman Radha K, Chawla Yogesh K

机构信息

Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

J Clin Exp Hepatol. 2017 Mar;7(1):77-79. doi: 10.1016/j.jceh.2016.09.011. Epub 2016 Sep 17.

DOI:10.1016/j.jceh.2016.09.011
PMID:28348476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5357715/
Abstract

Isolated hepatobiliary tuberculosis (TB) has been uncommonly described with or without biliary involvement and accounts for less than 1% of all tubercular infections. Isolated hepatic TB is even rare and poses a great diagnostic challenge. We report a case of isolated tubercular liver abscess with extension into the chest wall in an immune-competent adult, which was diagnosed and managed successfully with antitubercular treatment.

摘要

孤立性肝胆结核在有或无胆道受累的情况下均鲜有报道,占所有结核感染的比例不到1%。孤立性肝结核更为罕见,诊断极具挑战性。我们报告一例免疫功能正常的成年人发生孤立性结核性肝脓肿并蔓延至胸壁的病例,该病例经抗结核治疗后成功诊断并得到妥善处理。

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本文引用的文献

1
Primary hepatic tuberculosis in immunocompetent adults: a UK case series.免疫功能正常成年人的原发性肝结核:英国病例系列
Oxf Med Case Reports. 2014 Dec 17;2014(9):148-50. doi: 10.1093/omcr/omu056. eCollection 2014 Dec.
2
Hepatobiliary tuberculosis: a review of presentations and outcomes.肝胆结核:临床表现与转归综述
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Fulminant hepatic failure caused by tuberculosis.结核引起的暴发性肝衰竭。
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4
Tuberculous abscess of the liver. A case report.肝结核性脓肿。病例报告。
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