A rare case of miliary tuberculosis accompanying perihepatitis
- Author:
Ou Jun KWON
1
;
Suk Woo LEE
;
Mun Sun JANG
;
Sang Chul KIM
;
Ji Han LEE
;
Hoon KIM
Author Information
- Publication Type:Case Report
- Keywords: Perihepatitis; Tuberculosis, military; Mycobacterium tuberculosis
- MeSH: Cholecystitis; Humans; Liver Abscess; Lupus Erythematosus, Systemic; Mycobacterium tuberculosis; Peritonitis, Tuberculous; Polymerase Chain Reaction; Radiography; Sputum; Thorax; Tuberculosis; Tuberculosis, Miliary; Young Adult
- From: Clinical and Experimental Emergency Medicine 2019;6(3):264-267
- CountryRepublic of Korea
- Language:English
- Abstract: Perihepatic capsulitis is associated with various diseases, such as Fitz-Hugh-Curtis syndrome, systemic lupus erythematosus, perforated cholecystitis, perforated hepatic abscess, and tuberculous peritonitis. Miliary tuberculosis is present in about 2% of all reported cases of tuberculosis and is characterized by the widespread millet-like hematogenous dissemination of Mycobacterium tuberculosis. We describe a 24-year-old virgin patient presenting with right upper quadrant and costovertebral angle pain. Diffuse perihepatic capsular enhancement was observed in abdominal computed tomography scans. Chest radiography showed miliary tuberculosis, and a polymerase chain reaction hybridization assay of sputum revealed the presence of M. tuberculosis. Symptoms improved after administering anti-tuberculosis medications. This report describes a rare case of miliary tuberculosis accompanying perihepatitis.
