|
KMID : 0614620130620010064
|
|
Korean Journal of Gastroenterology
2013 Volume.62 No. 1 p.64 ~ p.68
|
|
|
A Case of Tuberculous Liver Abscess Developed during Chemotherapy for Tuberculous Peritonitis as Paradoxical Response
|
|
Kim Tae-Kyung
Choi Cheol-Woong
Ha Jong-Kun
Jang Hyung-Ha
Park Su-Bum
Kim Hyung-Wook
Kang Dae-Hwan
|
|
|
Abstract
|
|
|
|
Tuberculous liver abscesses are rare. Paradoxical response in tuberculosis is common and occurred between 2 weeks and 12 weeks after anti-tuberculous medication. We report here a case of tuberculous liver abscess that developed in a paradoxical response during chemotherapy for tuberculous peritonitis in a 23-year-old male. He was hospitalized, complaining of ascites, epigastric pain. He was diagnosed tuberculous peritonitis by expiratory laparoscopic biopsy and took medication for tuberculosis. After 2 months, a hepatic lesion was detected with CT scan incidentally. Chronic granulomatous inflammation was seen in ultrasound-guided liver biopsy, and tuberculous liver abscess was diasnosed. It was considered as paradoxical response, rather than treatment failure or other else because clinical symptoms of peritoneal tuberculosis and CT scan improved. After continuing initial anti-tuberculous medication, he was successfully treated. Herein, we report a case of tuberculous liver abscess as paradoxical response while treating peritoneal tuberculosis without changing anti-tuberculous treatment regimen.
|
|
|
KEYWORD
|
|
|
Paradoxical response, Tuberculous liver abscess, Tuberculous peritonitis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|