Hepatic tuberculosis

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Revision as of 15:29, 13 June 2023 by Aidan (talk | contribs) (Created page with "== Background == * Infection of the liver by Mycobacterium tuberculosis == Clinical Manifestations == * Most commonly presents with hepatomegaly and fever * Also respiratory symptoms, abdominal pain, and weight loss are common * Elevated ALP and GGT == Diagnosis == * Poor sensitivity of liver biopsy showing AFB and growing tuberculosis, but PCR often positive * Histology usually shows caseating granuloma == Management == * As per other forms of Mycobacterium...")
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Background

Clinical Manifestations

  • Most commonly presents with hepatomegaly and fever
  • Also respiratory symptoms, abdominal pain, and weight loss are common
  • Elevated ALP and GGT

Diagnosis

  • Poor sensitivity of liver biopsy showing AFB and growing tuberculosis, but PCR often positive
  • Histology usually shows caseating granuloma

Management