Liver tuberculosis in an HIV patient: Diagnosis and management

D. Bendayan, K. Litman, A. Hendler, V. Polansky

Research output: Contribution to journalArticlepeer-review

Abstract

Hepatic involvement is common in miliary and extra-pulmonary tuberculosis but is usually clinically silent. Therefore, it is rarely diagnosed. We report the case of a patient that presented with prolonged fever and hepatomegaly. Liver biopsy revealed non-necrotizing granulomas that led in turn to the diagnosis of generalized tuberculosis and HIV infection. The patient reported an old untreated tuberculosis and depression of the immune system provoked the reactivation of this old tuberculosis focus. We describe the clinical course of the disease and the challenges associated with the complexity of the treatment. Diagnosis of hepatic tuberculosis requires a high degree of suspicion especially in AIDS patients who show atypical presentations. However, it is a potential curable disease and good results have been obtained with the four drug regimen.

Original languageEnglish
Pages (from-to)152-156
Number of pages5
JournalIndian Journal of Tuberculosis
Volume57
Issue number3
StatePublished - Jul 2010
Externally publishedYes

Keywords

  • FUO
  • HIV
  • Liver granuloma
  • Tuberculosis

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