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Volume 49, Number 3, June 2016

Isolated tuberculous liver abscess in an immunocompetent adult patient: A case report and literature review 

Tsung-Chia Chen, Ling-Tai Chou, Chen-Cheng Huang, An-Bang Lai, Jen-Hsien Wang


Corresponding author:

Corresponding author. Jen-Hsien Wang, Division of Infectious Diseases, Department of Internal Medicine, China Medical University Hospital, Number 2, Yu-Der Road, Taichung 40447, Taiwan. 


Background and purpose: 

Tuberculous liver abscess is a rare disease entity even in endemic areas of Mycobacterium tuberculosis. It is usually accompanied by pulmonary tuberculosis or enteric tuberculosis. Further, an isolated tuberculous liver abscess is extremely rare. The disease is diagnosed by laparotomy or postmortem autopsy in most cases, and some authors adopted a 9-month antituberculosis regimen. We herein report a case of an isolated tuberculous liver abscess that initially manifested as persistent fever and general malaise, which was diagnosed by liver biopsy and treated successfully with a 6-month antituberculosis regimen and percutaneous abscess drainage. 


Key words:

Immunocompetent, Liver abscess, Mycobacterium tuberculosis