Frequency of hepatic granuloma in smear- positive tuberculosis

AUTHORS

AR Jaanbakhsh 1 , * , AA Aarvin 1

1 Iran

How to Cite: Jaanbakhsh A, Aarvin A. Frequency of hepatic granuloma in smear- positive tuberculosis, J Kermanshah Univ Med Sci. 2002 ; 6(2):e81008.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 6 (2); e81008
Published Online: September 19, 2002
Article Type: Research Article
Received: April 11, 2002
Accepted: September 11, 2002

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Abstract

Introduction and Objectives: Tuberculosis causes 10-55% of all hepatic ranulomas. Sputum Smear-negative patient suspected of having pulmonary tuberculosis is a diagnostic challenge. The objective of this study is to determine the prevalence of hepatic granuloma in smear- positive  pulmonary tuberculosis to decide whether hepatic biopsy could be used in diagnosing tuberculosis in Sputum Smear-negative patient suspected of having pulmonary tuberculosis.

Materials and Methods: 34 patients ( 16 males; age range 14-71 years)  with smear- positive pulmonary tuberculosis undergone hepatic biopsy in Sina hospital of Kermanshah, during the years 1995-98.

Results: Liver function tests were normal in all. In 5 of 34 patients ( 14.7%)  hepatic granulomas were found.

Discussion and Conclusions: Diagnostic gain of hepatic biopsy  is too low to be recommended for diagnosing tuberculosis in Sputum Smear-negative patient suspected of having pulmonary tuberculosis.

Keywords

Granuloma liver pulmonary tuberculosis Kermanshah

© 2002, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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