Nampoory M R, Halim M M, Sreedharan R, al-Sweih N A, Gupta R K, Constandi J N, Johny K V
Department of Medicine, Radiology and Microbiology, Mubarak Al-Kabeer Hospital, Ministry of Public Health, Kuwait.
Postgrad Med J. 1995 Aug;71(838):490-2. doi: 10.1136/pgmj.71.838.490.
We report the case of a 55-year-old man with chronic renal failure, and a history of prolonged fever and jaundice. Radiological studies revealed a multiloculated irregular liver abscess. Mycobacterium tuberculosis was isolated from the abscess on smear and culture of aspirated pus. Haematological studies revealed the presence of disseminated intravascular coagulation. A detailed search failed to identify any reason for this other than the tuberculous infection. The treatment of tuberculous liver abscess and pathogenesis of disseminated intravascular coagulation in tuberculosis are discussed.
我们报告了一例55岁男性慢性肾衰竭患者，有长期发热和黄疸病史。影像学检查显示肝脏有一个多房性不规则脓肿。经对抽吸脓液涂片和培养，从脓肿中分离出结核分枝杆菌。血液学检查显示存在弥散性血管内凝血。详细检查未能发现除结核感染外导致此情况的任何其他原因。本文讨论了结核性肝脓肿的治疗以及结核病中弥散性血管内凝血的发病机制。
