Frequency of hepatic granuloma in smear- positive tuberculosis

AR Jaanbakhsh; AA Aarvin

Journal of Kermanshah University of Medical Sciences

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Frequency of hepatic granuloma in smear- positive tuberculosis

Author(s):

AR Jaanbakhsh^1,*,

AA Aarvin ¹

1Iran

Journal of Kermanshah University of Medical Sciences:Vol. 6, issue 2; e81008

Published online:Sep 19, 2002

Article type:Research Article

Received:Apr 11, 2002

Accepted:Sep 11, 2002

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

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

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