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Paper Information

Journal:   JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES (BEHBOOD)   Summer 2002 , Volume 6 , Number 2; Page(s) 27 To 30.
 
Paper: 

FREQUENCY OF HEPATIC GRANULOMA IN SMEAR- POSITIVE TUBERCULOSIS

 
 
Author(s):  JAANBAKHSH A.R., AARVIN A.A.
 
* 
 
Abstract: 

Introduction and Objectives: Tuberculosis causes 10-55% of all hepatic ranulomas. Sputum Smear-negative patient suspected of having pulmonary tuberculosis is a diagnostic challenge. The objective of this study is to determine the prevalence of hepatic granuloma in smear- positive pulmonary tuberculosis to decide whether hepatic biopsy could be used in diagnosing tuberculosis in Sputum Smear-negative patient suspected of having pulmonary tuberculosis. Materials and Methods: 34 patients (16 males; age range 14-71 years) with smear- positive pulmonary tuberculosis undergone hepatic biopsy in Sina hospital of Kermanshah, during the years 1995-98.
Results: Liver function tests were normal in all. In 5 of 34 patients (14.7%) hepatic granulomas were found.
Discussion and Conclusions: Diagnostic gain of hepatic biopsy is too low to be recommended for diagnosing tuberculosis in Sputum Smear-negative patient suspected of having pulmonary tuberculosis
.

 
Keyword(s): GRANULOMA, LIVER, PULMONARY TUBERCULOSIS, KERMANSHAH
 
References: 
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