간과 비장에서 발생한 결핵성 농양 1례
A Case of Hepatosplenic Tuberculous Abscess
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초록
저자들은 발열과 복통을 호소하는 15세 남아에서 항결핵 약물로 호전된 매우 드문, 간과 비장의 결핵성 농양 1례를 경험하여 보고하는 바이다.
Abstract
Tuberculosis is not a common cause of liver abscess and it is rarely considered in the differential diagnosis of a patient with hepatic mass. We report a case of tuberculous abscess of liver and spleen in a 15-year-old boy who presented with abdominal pain, fever and weight loss. The ultrasonographic and computed tomographic scan of the abdomen revealed multiple cystic lesions in the liver and spleen. Mycobacterium tuberculosis was cultured from the ascitic fluid and biopsy specimen of lymph node. Follow up CT scan of the abdomen after anti-tuberculosis medication for eighteen months showed complete resolution of the cystic lesions with calcified nodules.
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