A Case Report of Hepatic Tuberculosis

Background: Pulmonary tuberculosis (TB) is one of the common infections in developing countries of Asia and Africa, however, little isknown about hepatic tuberculosis from these countries.Case report: We report a case of hepatic tuberculosis in a 24-year-old Bangladeshi man. He attended the physician for evaluation ofhepatitis B surface antigen. He was asymptomatic with no notable hepatic and pulmonary complains. A diagnosis of hepatic TB was madeafter evaluation of liver histology that exhibited epitheloid granuloma with central caseating necrosis in the liver. The patient was successfullytreated by antitubercular drugs.Discussion: Involvement of liver in TB may occur in a variety of forms. The commonest form is disseminated tuberculosis. A second varietyrepresents diffuse involvement of liver with granuloma formation (granulomatous hepatitis). This is the first reporting of hepatic TB fromBangladesh, a country that harbors millions of people infected with TB and hepatitis viruses.Abbreviations: TB-Tuberculosis; HBV-Hepatitis B virus; HBsAg-Hepatitis B surface antigen; HAI-Histology activity index; AFB-Acid fastbacili.