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Tuberculosis & Respiratory Diseases

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Vol.72 No.1
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A Case of Multi-Organ Macronodular Tuberculosis

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2012, v.72 no.1, pp.88-92







& (2012). A Case of Multi-Organ Macronodular Tuberculosis. Tuberculosis & Respiratory Diseases, 72(1), 88-92.
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Abstract

A 37 year old female presented with epigastric pain and weight loss over a period of 3 months. Her abdominal CT finding showed a 4.5 cm size hepatic mass and 4.3 cm size pancreatic head mass with multiple macronodules in the liver. At the same time, her chest CT revealed a 5 cm size necrotic mass in the left lower lobe of the lung with multiple bilateral pulmonary nodules. We diagnosed these lesions as tuberculosis through multiple biopsies. She was treated with anti-tuberculous medication. After taking the medications, her symptoms were improved. Twelve months later, imaging studies indicated an improvement in the patient's health. Here we report a case report of multi-organ macronodular tuberculosis in lung, liver and pancreas.

keywords
Tuberculoma, Tuberculosis, Hepatic, Multiple Pulmonary Nodules, Pancreas

Reference

1.

1. Golden MP, Vikram HR. Extrapulmonary tuberculosis: an overview. Am Fam Physician 2005;72:1761-8.

2.

2. Yoon HJ, Song YG, Park WI, Choi JP, Chang KH, Kim JM. Clinical manifestations and diagnosis of extrapulmonary tuberculosis. Yonsei Med J 2004;45:453-61.

3.

3. Harisinghani MG, McLoud TC, Shepard JA, Ko JP, Shroff MM, Mueller PR. Tuberculosis from head to toe. Radiographics 2000;20:449-70.

4.

4. Fan ZM, Zeng QY, Huo JW, Bai L, Liu ZS, Luo LF, et al. Macronodular multi-organs tuberculoma: CT and MR appearances. J Gastroenterol 1998;33:285-8.

5.

5. Yu RS, Zhang SZ, Wu JJ, Li RF. Imaging diagnosis of 12 patients with hepatic tuberculosis. World J Gastroenterol 2004;10:1639-42.

6.

6. Hwang SW, Kim YJ, Cho EJ, Choi JK, Kim SH, Yoon JH, et al. Clinical features of hepatic tuberculosis in biopsy- proven cases. Korean J Hepatol 2009;15:159-67.

7.

7. Kawamori Y, Matsui O, Kitagawa K, Kadoya M, Takashima T, Yamahana T. Macronodular tuberculoma of the liver: CT and MR findings. AJR Am J Roentgenol 1992;158:311-3.

8.

8. Gelb AF, Leffler C, Brewin A, Mascatello V, Lyons HA. Miliary tuberculosis. Am Rev Respir Dis 1973;108:1327- 33.

9.

9. World Health Organization (WHO). Global tuberculosis control report 2010. Geneva, Switzerland: WHO; c2010 [cited 2011 Jan 10]. Available from: http://whqlibdoc.- who.int/publications/2010/9789241564069_eng.pdf.

10.

10. Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res 2004;120:305-15.

11.

11. Kok KY, Yapp SK. Isolated hepatic tuberculosis: report of five cases and review of the literature. J Hepatobiliary Pancreat Surg 1999;6:195-8.

12.

12. Cho SB. Pancreatic tuberculosis presenting with pancreatic cystic tumor: a case report and review of the literature. Korean J Gastroenterol 2009;53:324-8.

13.

13. Ariyürek MO, Karçaaltincaba M, Demirkazik FB, Akay H, Gedikoglu G, Emri S. Bilateral multiple pulmonary tuberculous nodules mimicking metastatic disease. Eur J Radiol 2002;44:33-6.

14.

14. Song SH, Hahn HS, Kyung SY, Hwang JK, An CH, Lim YH, et al. A study of clinical investigations of pulmonary tuberculoma. Tuberc Respir Dis 2002;52:330-7.

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