Title of article
Liver Tuberculosis Presenting as an Uncommon Cause of Pyrexia of Unknown Origin: Positron Emission Tomography/Computed Tomography Identifies the Correct Site for Biopsy
Author/Authors
Yu, Hai-Ying Zhejiang University - School of Medicine, First Affiliated Hospital - Department of Infectious Diseases, State Key Laboratory of Infectious Diseases, China , Sheng, Ji-Fang Zhejiang University - School of Medicine, First Affiliated Hospital - Department of Infectious Diseases, State Key Laboratory of Infectious Diseases, China
From page
577
To page
579
Abstract
Objective: To identify the correct site to biopsy in a case of pyrexia of unknown origin (PUO) caused by hepatic tuberculosis (TB). Clinical Presentation and Intervention: A 58-year-old man who developed hepatic TB presented with PUO. Ultrasonography (US) and computed tomography (CT) of the abdomen showed only calcifications in the liver, and positron emission tomography (PET)/CT showed diffuse increased metabolic activity in addition to focal areas of increased activity. A diagnosis of hepatic TB was confirmed by histological examination of liver tissues and interferon-γ release assays (IGRAs of T-SPOT/TB). The patient was treated with 4 anti-tubercular therapies (rifampicin, isoniazid, ethambutol and pyrazinamide). At the 3-month follow-up, the patient was disease free as confirmed by abdominal US. Conclusion: PET/CT was helpful in identifying a site to biopsy that led to the correct diagnosis.
Keywords
Hepatic tuberculosis · Positron emission tomography · Computed tomography · Pyrexia of unknown origin
Journal title
Medical Principles and Practice
Journal title
Medical Principles and Practice
Record number
2695199
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