DISSEMINATED TUBERCULOSIS MANIFESTING AS HEPATIC ABSCESS AND IVC THROMBOSIS: A RARE PRESENTATION

DEEPAK JAİN, HARPREET SİNGH, KİRAN B, SHAVETA DAHİYA, PROMİL JAİN

Journal of Clinical Practice and Research - 2018;40(2):103-106

Department of Medicine, Pt. B.D. Sharma University of Health Sciences, Haryana, India

 

Tuberculosis (TB) is the leading cause of morbidity and mortality in developing countries. The involvement of liver the in the form of tubercular liver abscess is a very rare entity in immunocompetent or non-HIV infected individuals. Here we report a case of 32-year old previously healthy male who presented with easy fatigability, decreased appetite, abdominal pain and low-grade fever. Further examination and relevant investigations revealed diagnosis of tubercular liver abscess with pleural effusion and inferior vena cava (IVC) thrombosis. The patient was treated with anti-tubercular drugs and anti-coagulants; he improved symptomatically and recovered without any further complications. Although tubercular liver abscesswith IVC thrombosis is a relatively unusual manifestation, timely diagnosis is essential to prevent devastating complications.