Liver Tuberculosis − a case report

Česká verzia

Authors: V. Pribula ¹; J. Bodnár ²; A. Vrzgula ¹
Authors place of work: Chirurgická klinika Lekárskej fakulty Univerzity Pavla Jozefa Šafárika v Košiciach, Nemocnica Košice−Šaca a. s., 1. súkromná nemocnica ¹; Alphamedical, s. r. o., Diagnostické centrum patologie, Košice ²
Published in the journal: Rozhl. Chir., 2018, roč. 97, č. 8, s. 394-398.
Category: Kazuistika

Summary

Tuberculosis remains a global health issue affecting millions of people worldwide. Pulmonary form of tuberculosis presents 80−90% of cases with prevalence declining worldwide. On the other hand, extrapulmonary tuberculosis remains at the same level. Extrapulmonary tuberculosis cases are rare at our department. In our article we present a patient who underwent a liver resection with an unexpected finding of liver tuberculosis. In this form of tuberculosis it is difficult to establish a definite diagnosis since clinical symptoms and results of imaging tests maybe equivocal orin determinate. The rare occurrence and the fact that the majority of extrapulmonary tuberculosis cases are not transmitted to other patients lead to lower attention of health professionals. The goal of our article is to bring this rare form of tuberculosis to attention. Inclusion of this form of tuberculosis in differential diagnosis may help to establish correct a diagnosis and therapy.

Key words:

extrapulmonary tuberculosis − liver

Zdroje

1. Netval J, Homolka K, Křepela J, et al. Mimoplicní tuberkulóza. Praha, Grada 2004.

2. Global tuberculosis report 2016 (Global Tuberculosis Control) [on line]. Available from: http://apps.who.int/medicinedocs/documents/s23098en/s23098en.pdf>.

3. Global tuberculosis report 2017 [on line]. Available from: http://www.who.int/tb/publications/global_report/en/>.

4. European Centre for Disease Prevention and Control: Tuberculosis [on line]. Available from: https://ecdc.europa.eu/en/tuberculosis/facts>.

5. Ramirez-Lapausa M, Menendez-Saldana A, Noguerado-Asensio A. Extrapulmonary tuberculosis: A nover view. Rev Esp Sanid Penit 2015;17:3−11.

6. Hickey AJ, Gounder L, Moosa MY, et al. A systematic review of hepatic tuberculosis with considerations in human immunodeficiency virus co-infection. BMC Infect Dis 2015;15:209.

7. Tai WC, Kuo CM, Lee CH, et al. Liver tuberculosis in Southern Taiwan: 15-years clinical experience. J Intern Med Taiwan 2008;19:410–7.

8. Chaudhary P. Hepatobiliary tuberculosis. Ann Gastroenterol 2014;27:207−11.

9. Singh S, Jain P, Aggarwal G, et al. Primary hepatic tuberculosis: A rare but fatal clinical entity if undiagnosed. Asian Pac J Trop Med 2012;5:498−9.

10. Kakkar C, Polnaya AM, Koteshwara P, et al. Hepatic tuberculosis: a multimodality imaging review. Insights Imaging 2015;6:647−58.

11. Kucukmetin NT, İnce U, Cicek B, et al. Isolated hepatic tuberculosis: A rare cause of hepaticmass lesions. Turk J Gastroenterol 2014;25:110−2.

12. Park JI. Primary hepatic tuberculosis mimick in gintra hepatic cholangio carcinoma: report of two cases. Ann SurgTreat Res 2015;89:98–101.

13. Tatco VR, Mejia-Santos MMA, Austine JU. The many faces of hepatic tuberculosis, cross-sectional imaging manifestations. TB Corner 2015;1:1−6.

14. Kolek V, Kašák V, Vašáková M, et al. Pneumologie. 3. vydání, Praha, Maxdorf 2017.

15. Treatment of tuberculosis: Guidelines. 4th edition. Geneva, World Health Organization; 2010 [on line]. Available from: <https://www.ncbi.nlm.nih.gov/books/NBK138748/>.

16. Wu Z, Wang W-L, Zhu Y, et al. Diagnosis and treatment of hepatic tuberculosis: report of five cases and review ofl iterature. Int J Clin Exp Med 2013;6:845−50.

17. Lee JY. Diagnosis and treatment of extrapulmonary tuberculosis. Tuberc Respir Dis 2015;78:47–55