Scopus
🔓 Açık Erişim
Tuberculous liver abscess in an immunocompetent child with pulmonary tuberculosis as a cause of fever of unknown origin
Turkish Journal of Pediatrics · Eylül 2015
Makale Bilgileri
DergiTurkish Journal of Pediatrics
Yayın TarihiEylül 2015
Cilt / Sayfa57 · 85-89
Scopus ID2-s2.0-84942532242
Erişim🔓 Açık Erişim
Özet
A 4-year-old, otherwise healthy boy presented with an axillary temperature of up to 39.5ºC for the previous 3 weeks. His medical history revealed an occasional increase in body temperature up to 38.5ºC for the last 6 months. Physical examination revealed coarse breath sounds on the basal lung area. Chest X-ray showed mediastinal lymphadenomegaly and computed tomography revealed paratracheal conglomerated lymph nodes and a groundglass appearance on the right lung. There were multiple contrast-enhanced, hypoechoic nodules with central necrosis in the liver parenchyma on abdominal magnetic resonance imaging. Open liver biopsy yielded chronic granulomatous inflammation compatible with pathological findings of tuberculosis infection. The culture specimen was positive for Mycobacterium tuberculosis. The patient improved rapidly after antituberculous therapy was initiated. Tuberculosis, especially in its disseminated form, poses a distinct diagnostic challenge in cases of prolonged fever with unproven etiology, and thus persistence should be exercised in disclosing the cause of such fevers.
Yazarlar (9)
1
Bahar Çalışkan
2
Ayper Somer
3
Nevin Hatipoglu
4
Melike Emiroglu
ORCID: 0000-0003-1307-0246
5
Ensar Yekeler
6
Feryal Gün
7
Mine Güllüoğlu
8
Tansu Salman
9
Nuran Salman
Anahtar Kelimeler
Hepatic abscess
Prolonged fever
Tuberculous infection
Kurumlar
Istanbul Üniversitesi
Istanbul Turkey
Metrikler
4
Atıf
9
Yazar
3
Anahtar Kelime