Hepatic Tuberculous Abscess and Miliary Tuberculosis in A Hemodialysis Patient.
- Author:
Gae Hyuk MOON
1
;
Joon Ho SONG
;
Seung Woo LEE
;
Kyong Ju LEE
;
Hyun Sin PARK
;
Moon Jae KIM
Author Information
1. Department of Internal Medicine, Inha University, Collage of Medicine, Inchon, Korea. nhkimj@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Hepatic tuberculous abscess;
ESRD;
Miliary tuberculosis
- MeSH:
Abscess*;
Adult;
Cough;
Defense Mechanisms;
Ethambutol;
Fever;
Humans;
Immunity, Cellular;
Incidence;
Kidney Failure, Chronic;
Lymphatic Diseases;
Male;
Outpatients;
Pyrazinamide;
Renal Dialysis*;
Rifampin;
Sweat;
Sweating;
Thorax;
Tomography, X-Ray Computed;
Tuberculosis, Miliary*
- From:Korean Journal of Nephrology
2001;20(2):332-336
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The impairment of host defense mechanisms, particularly of cellular immunity, causes high incidence of mycobacterial infections in the patients with ESRD. Extrapulmonary mycobacterial infections are more frequent in ESRD patients compared to general population. However, there has been rarely reported on the occurrence of hepatic tuberculous abscess as an extrapulmonary mycobacterial infection in ESRD patients. We present a case of ESRD patient manifesting miliary tuberculosis and hepatic tuberculous abscess, which have successfully resolved after anti-tuberculous medications. A 44 years old male admitted with fever, general weakness, night sweating, and cough. Chest X-ray and abdominal CT revealed pulmonary miliary tuberculosis and a solitary tuberculous abscess at S7 of right hepatic lobe with multiple periportal and celiac lymphadenopathy. After the administration of anti-tuberculous medications(isoniazid, rifampicin, ethambutol - eight month, pyrazinamide - two month), miliary tubuculosis disappeared. The size of hepatic tuberculous abscess and lymphadenopathy were reduced in abdominal CT six month later. The patient is followed in outpatient without noticeable symptoms after eight month treatment.
