Display options
Share it on

Rev Gastroenterol Peru. 2002 Oct-Dec;22(4):324-9.

[Granulomatous tuberculous hepatitis as cause of fever of unknown origin].

Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru

[Article in Spanish]
David Loja Oropeza, Maricela Vilca Vásquez, Pierino Alvarez Bedoya

Affiliations

  1. Departamento de Medicina Interna. Hospital Arzobispo Loayza. Lima-Perú.

PMID: 12525848

Abstract

The clinical case of one patient with fever of unknown origin, due to granulomatous hepatitis of tuberculous etiology was presented. The patient was a a 50-year-old woman, with 50 days illness characterized by chills, 39 degrees C fever and heavy diaphoresis. She had a record of seven malaria cases. She looked thin and pale at the initial physical examination. During the evolution, she developed pancytopenia, massive hepatosplenomegaly, jaundice, and anasarca. The patient underwent screening tests for infection, neoplasias, collagenosis, and granulomatous diseases. The laboratory tests showed transaminase-alkaline phosphatase dissociation, which led to the final diagnosis of tuberculosis, through the histological examination of the liver parenchyma. The specific treatment against tuberculosis caused remission of fever, ascites, and hepatomegaly and normalization of liver tests, with satisfactory clinical evolution.

MeSH terms

Publication Types