August 16, 2025

Rare cause of extrapulmonary tuberculosis in an immunocompetent elderly patient.

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Discussion

Case report identifies tubercular hepatic abscess in an immunocompetent elder, suggesting better diagnostic methods may reduce treatment delays.

Diagnosis of a tubercular hepatic abscess was confirmed using a cartridge-based nucleic acid amplification test, improving treatment accuracy and outcomes.
The patient, a 65-year-old male, had symptoms for three months before accurate diagnosis, highlighting risks associated with misidentification.
Prompt initiation of a standard anti-tubercular regimen led to successful treatment of the rare condition, indicating the importance of early therapy.
Misdiagnosis as bacterial or neoplastic can lead to inappropriate treatment, underscoring the need for advanced diagnostic tools in such rare cases.

Tiwari et al. (2025) studied this question.

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Case report identifies tubercular hepatic abscess in an immunocompetent elder, suggesting better diagnostic methods may reduce treatment delays.