Jao Yue-Sai, Martinez Lemuel, Carlo Victor J, Micames Carlos G
Fellowship Program, University of Puerto Rico School of Medicine Gastroenterology, San Juan, Puerto Rico.
Infectious Disease Department, Manati Medical Center, Manati, Puerto Rico.
ACG Case Rep J. 2023 Jul 7;10(7):e01083. doi: 10.14309/crj.0000000000001083. eCollection 2023 Jul.
is associated with skin and soft-tissue infections, yet isolated liver involvement is rare. A 67-year-old asymptomatic man was referred for endoscopic ultrasound (EUS) to evaluate a gastric lesion and an incidental liver mass. EUS revealed a heterogeneous liver mass that was sampled. Pathology revealed necrotic granulomatous inflammation and positive acid-fast bacilli stain with deoxyribonucleic acid. Levofloxacin plus trimethoprim and sulfamethoxazole for 3 months were used for complete resolution of liver lesion. Isolated nontuberculous liver involvement is uncommon. We report the first case of a liver mass caused by diagnosed by EUS-fine needle aspiration.