Clin Exp Emerg Med.
2019 Sep;6(3):264-267. 10.15441/ceem.18.017.
A rare case of miliary tuberculosis accompanying perihepatitis
- Affiliations
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- 1Department of Emergency Medicine, Chungbuk National University Hospital, Cheongju, Korea. nichekh2000@chungbuk.ac.kr
- 2Department of Emergency Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
- 3Department of Emergency Medical Technology, Chungbuk Health & Science University, Cheongju, Korea.
- KMID: 2459806
- DOI: http://doi.org/10.15441/ceem.18.017
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.
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