A case of tuberculosis presented by obstructive jaundice tuberculosis-related mechanical icterus

  • Sibel Ocak Serin Department of Internal Medicine, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul,Turkey
  • Aysun Isiklar Department of Internal Medicine, Martyr Prof. İlhan Varank Sancaktepe Training and Research Hospital, Istanbul,Turkey
  • Hakan Cakit Department of General Surgery, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul,Turkey
  • Sema Ucak Basat Department of Internal Medicine, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul,Turkey
Keywords: Tuberculosis lymphadenitis, obstructive jaundice, radiological findings, interventional diagnostic techniques

Abstract

Obstructive jaundice caused by tuberculosis lymphadenitis is a rare condition. It can mimic clinical and radiological findings of hepatobiliary malignancies. The authors report a 24-year-old male patient who presented with abdominal pain, fever and jaundice for the last two weeks. It was found that cholestasis enzymes were increased by 2-3 fold and direct bilirubin was 6.13 mg/dL. Imaging studies revealed conglomerated lymph nodes with some cavitary lesions and dilated intrahepatic biliary canal secondary to compression by the lymph nodes. Tuberculosis was found to be positive in the polymerase chain reaction analysis of the aspirate that was obtained in the guidance of imaging studies. M. tuberculosis complex was isolated from mycobacterial culture. Anti-tuberculosis treatment was initiated. Clinical, laboratory and radiological findings completely resolved by medical therapy alone. Tuberculosis lymphadenitis should be kept in mind in cases presenting with obstructive jaundice in endemic areas and interventional diagnostic techniques should be preferred in eligible patients.

Published
2020-10-31
How to Cite
1.
Ocak Serin S, Isiklar A, Cakit H, Basat SU (2020) A case of tuberculosis presented by obstructive jaundice tuberculosis-related mechanical icterus. J Infect Dev Ctries 14:1221-1224. doi: 10.3855/jidc.12187
Section
Case Reports