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Tuberculous Abscess and Empyema of the Liver.

Journal of the Korean Pediatric Society 1981;24(7):690-695.
Published online July 15, 1981.
Tuberculous Abscess and Empyema of the Liver.
Ran Nam Gung, Kwan Sub Chung, Ki Sup Chung, Duk Jin Yun
Department of pediatrics, Yonsei University, College of Medicine, Seoul, Korea.
결핵성 간농양 및 농흉 1예
남궁란, 정관섭, 정기섭, 윤덕진
연세대학교 의과대학 소아과학교실
Abstract
We have experienced a case of tuberculous abscess of the liver with empyema in a 12 years old boy. He was admitted with the chief complaints of pain and mass in the right upper abdomen of about 1 month duration and intermittent mild fever for 15 days. On examination, liver was palpable 5 cm below the right costal margin, and was tender and firm. Liver scan showed a cold area in the right posterior upper part of the liver. With the needle aspiration of the liver, 240 ml of yellowish-green pus was aspirated. The stained smears of the pus showed a large number of acid-fast bacilli, and the culture revealed a growth of Mycobacterium tuberculosis. Our patient was cured successfully by the drainage of pus with the needle aspiration of the liver and antituberculous medication. We have presented here a rare case whose the diagnosis was made without the help of any operative procedure, and reviewed the literatures.
Key Words: Tuberculos Abcess, Liver


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