Abstract

VELASQUEZ, Eleanne et al. Absceso hepático tuberculoso en paciente con tuberculosis peritoneal. Gen [online]. 2009, vol.63, n.3, pp.184-186. ISSN 0016-3503.

Tuberculosis is a serious public health problem worldwide, and lately a rise on the incidence of this disease has been observed. The clinical presentation of extra-pulmonary tuberculosis with peritoneal incidence is so rare and atypical as well as the presence of tubercular abscess. The risk of infection has increased mostly due to a series of different factors including: immunosuppression, HIV, malignancy pathology, corticosteroids usage, cirrhosis, among others. This anomaly shows big similitude with other clinical cases and because of its diverse clinical form it should be suspected on every patient presenting abdominal pain with unknown etiology specially if is accompanied with fever, ascites septum and abdominal distension. We are presenting a case of a 46 years old female, admitted with abdominal pain, icterus, persistent low-grade fever, splenomegaly, azoate retention and, history of rheumatoid arthritis. On examination, she was diagnosed with leptospirosis with torpid evolution. Later on, after admitted in the hospital she started to show signs of ascites becoming septum, subsequently manifested LOE in left hepatic lobule reporting BAR in parecentesis. Analysis of the fluid yielded GASA <1.1, lynphocites 98% ADA: 59 U/L. Treatment with rifampicin, isoniazid, pyrazinamide y ethambutol was started and a satisfactory output was obtained.

Keywords : Peritoneal tuberculosis; liver abscess.