Journal of Family Medicine and Primary Care

: 2020  |  Volume : 9  |  Issue : 1  |  Page : 424--427

Tubercular granuloma mimicking pyogenic liver abscess

Mohit Garg1, Yasmeen Khan2, Monika Pathania1 
1 Department of Medicine, AIIMS, Rishikesh, Uttarakhand, India
2 Department of Medicine, AIIMS, Bhopal, Madhya Pradesh, India

Correspondence Address:
Dr. Monika Pathania
Associate Professor, Department of Medicine, AIIMS Rishikesh, Uttarakhand

Hepatic Tuberculosis (TB) is extremely rare without miliary involvement in immunocompetent patients. Even in countries like India where TB is a major public health problem only few cases have been diagnosed and treated. We report a case of an immunocompetent patient who presented with undiagnosed pyrexia of 11 days, was initially diagnosed as pyogenic liver abscess, he did not responded to treatment and on liver biopsy was diagnosed as hepatic tuberculoma. Antitubercular treatment (ATT) was started and the patient responded well. We concluded that though hepatic TB is rare in immunocompetent patient, it is important to keep it as a differential diagnosis in patients of liver abscesses who are not responding to treatment in order to avoid needless investigations.

How to cite this article:
Garg M, Khan Y, Pathania M. Tubercular granuloma mimicking pyogenic liver abscess.J Family Med Prim Care 2020;9:424-427

How to cite this URL:
Garg M, Khan Y, Pathania M. Tubercular granuloma mimicking pyogenic liver abscess. J Family Med Prim Care [serial online] 2020 [cited 2021 May 10 ];9:424-427
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