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Ind.J.Tub.; 2001,48,219
INTRODUCTION
Tuberculosis may involve any organ in the
body but involvement of liver is uncommon1. Most
patients with hepatic tuberculosis are of miliary type
consisting of widespread multiple granulomas but
focal hepatic tuberculosis in the form of liver abscess
is the least common. We are presenting a case of
tuberculous liver abscess and right side pleural
effusion.
CASE REPORT
BSB, 68 year old male, non-hypertensive,
non-diabetic patient was admitted in our unit on
13.01.2000 with the complaints of (i) Low grade
fever for 1 month, (ii) Pain in the right lower chest
and upper abdomen for 15 days and (iii) Respiratory
distress gradually increasing for 7 days. There was
no history of cough or expectoration, recent blood
transfusion, contact with a tuberculosis patient, nor
any history of drug intake or extra-marital sexual
exposure. On examination, the patient was
emaciated, had mild anaemia, but jaundice, oedema,
clubbing or cyanosis were absent. Pulse 100/ min,
regular, blood pressure 130/80 mm of Hg and no
1 .Professor 2. Assistant Professor 3. RMO and Tutor 4. Medical Officer 5. Associate Professor
Department of Medicine, R G Kar Medical College, Calcutta
* Department of Medicine, Institute of Post-Graduate Medical Education and Research, Calcutta
Correspondence Dr M C Dhar, 53 A, Department of Medicine, R G Kar Medical College, Karbala Tank Lane, Calcutta 700 006
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