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Diagnóstico Inesperado de Tuberculose Hepática e Ganglionar num Doente com Dor Abdominal
Unexpected Discovery of Hepatic and Ganglionic Tuberculosis in A Patient with Abdominal Pain
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Josiana Duarte [josimduarte@gmail.com]
Serviço de Medicina Interna, Unidade Local de Saúde do Litoral Alentejano, Santiago do Cacém, Portugal
Monte do Gilbardinho, 7540-230 Santiago do Cacém
Abstract
Tuberculosis is a systemic disease with various presentations, and extrapulmonary tuberculosis often poses a diagnostic challenge. This article describes the case of a 25-year-old woman from Nepal who presented with persistent abdominal pain associated with fever, asthenia, and anorexia. Investigations revealed multiple necrotic lymphadenopathies and intrahepatic fluid collections, suggesting abscesses. After multiple investigations, including biopsies, the patient was diagnosed with ganglionic and hepatic tuberculosis, an extremely rare condition. The patient started anti-tubercular therapy and showed gradual improvement. This case underscores the importance of considering extrapulmonary tuberculosis in the differential diagnosis, especially in regions with immigrant populations from endemic areas.
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