Tuberculous Liver Abscess Treated by Percutaneous Infusion of Antituberculous Agents.
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- KUBOTA Hirofumi
- The Department of Internal Medicine, Miyazaki Prefectural Nichinan Hospital
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- AGETA Masato
- The Department of Internal Medicine, Miyazaki Prefectural Nichinan Hospital
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- KUBO Hirohide
- The Department of Internal Medicine, Miyazaki Prefectural Nichinan Hospital
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- WADA Shinichi
- The Department of Internal Medicine, Miyazaki Prefectural Nichinan Hospital
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- NAGAMACHI Shigeki
- The Department of Radiology, Miyazaki Prefectural Nichinan Hospital
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- YAMANAKA Takeo
- The Gastroenterology Unit, Omiya Medical Center, Jichi Medical School
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抄録
Tuberculous liver abscess has been reported in only fourteen patients in Japan and in twenty-nine patients outside Japan. Only nine of the non-Japanese patients and none of the Japanese patients have been treated for this condition without laparotomy. We report a patient who developed tuberculous liver abscess during treatment of tuberculous peritonitis. Diagnosis was made by ultrasound-guided aspiration biopsy, and the patient was treated with percutaneous drainage and transcatheter infusion of antituberculous agents. Direct infusion of antituberculous agents has more direct effects in the treatment of an abscess than systemic chemotherapy alone. Therefore, if a percutaneous catheter can be safely placed, the use of transcatheter infusion of antituberculous agents should be considered.<br>(Internal Medicine 33: 351-356, 1994)
収録刊行物
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- Internal Medicine
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Internal Medicine 33 (6), 351-356, 1994
一般社団法人 日本内科学会