Indian pediatrics · 2014
Multidrug-resistant tubercular liver abscess in β-thalassemia.
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Agrawal Amit, Shrivastava Jyotsna, Singh Akhil
Аннотация
BACKGROUND: Liver abscesses in thalassemics are predominantly pyogenic.
CASE CHARACTERISTICS: 12-year-old thalassemic boy with abdominal pain and high grade fever for 15 days.
OBSERVATION: CT abdomen revealed multiple liver abscesses. Pus culture and sensitivity showed multidrug-resistant mycobacteria. Patient was started on second line anti-tubercular drugs.
OUTCOME: He responded well with symptomatic improvement and is doing well after 6 months of follow-up.
MESSAGE: Liver abscess in patients with thalassemia rarely can be tubercular.
CASE CHARACTERISTICS: 12-year-old thalassemic boy with abdominal pain and high grade fever for 15 days.
OBSERVATION: CT abdomen revealed multiple liver abscesses. Pus culture and sensitivity showed multidrug-resistant mycobacteria. Patient was started on second line anti-tubercular drugs.
OUTCOME: He responded well with symptomatic improvement and is doing well after 6 months of follow-up.
MESSAGE: Liver abscess in patients with thalassemia rarely can be tubercular.