PT  - JOURNAL ARTICLE
AU  - Celestine Eshiwe
AU  - Farah Shahi
AU  - Neil Gordon
AU  - Patrick Lillie
TI  - Rare and unusual case of hepatic and disseminated tuberculosis in an immunocompetent patient
AID  - 10.1136/bcr-2019-229384
DP  - 2019 Jun 01
TA  - BMJ Case Reports
PG  - e229384
VI  - 12
IP  - 6
4099  - http://casereports.bmj.com/content/12/6/e229384.short
4100  - http://casereports.bmj.com/content/12/6/e229384.full
SO  - BMJ Case Reports2019 Jun 01; 12
AB  - Mycobacterium tuberculosis complex disease (tuberculosis (TB)) of the liver is rare and liver abscesses as a result are even rarer. In an immunocompetent individual, the disease tends to be localised. To the best of our knowledge, we report one of the most severe TB involvements of the liver in an immunocompetent individual. A young woman with a history of previous TB infection, presented in septic shock. Scans showed a liver filled with possible abscesses, one of which was aspirated and confirmed TB. Multiple HIV tests were negative but she remained lymphopaenic. Although she improved substantially with anti-tuberculous treatment, she later developed non-tuberculous central nervous system disease that we were unable to fully explain. Despite a stormy recovery period, she continues to do well.