A Case of Multi-Organ Macronodular Tuberculosis.

Lim, Kyoung Ree; Kang, Myung Ho; Kim, Tae Suk; Moon, Ki Won; Ryu, Dong Ryeol; Lee, Hui Young; Han, Seon Sook

doi:2012.72.1.88

Tuberc Respir Dis > Volume 72(1); 2012 > Article

Case Report

Tuberculosis and Respiratory Diseases 2012;72(1):88-92.
DOI: https://doi.org/10.4046/trd.2012.72.1.88 Published online January 1, 2012.

A Case of Multi-Organ Macronodular Tuberculosis.

Kyoung Ree Lim, Myung Ho Kang, Tae Suk Kim, Ki Won Moon, Dong Ryeol Ryu, Hui Young Lee, Seon Sook Han

Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea. ssunimd@kangwon.ac.kr

Abstract

A 37 year old female presented with epigastric pain and weight loss over a period of 3 months. Her abdominal CT finding showed a 4.5 cm size hepatic mass and 4.3 cm size pancreatic head mass with multiple macronodules in the liver. At the same time, her chest CT revealed a 5 cm size necrotic mass in the left lower lobe of the lung with multiple bilateral pulmonary nodules. We diagnosed these lesions as tuberculosis through multiple biopsies. She was treated with anti-tuberculous medication. After taking the medications, her symptoms were improved. Twelve months later, imaging studies indicated an improvement in the patient's health. Here we report a case report of multi-organ macronodular tuberculosis in lung, liver and pancreas.

Key Words: Tuberculoma, Tuberculosis, Hepatic, Multiple Pulmonary Nodules, Pancreas