ABSTRACT
Isolated Tubercular liver abscess is mainly reported in adult patients. We report two cases of isolated tubercular liver abscess in paediatric patients. Diagnosis was made by clinical and ultrasound guided aspiration of pus showing acid fast bacilli in one case. In second case, biopsy of the abscess wall was confirmatory. In both cases percutaneous drainage of pus and transcatheter infusion of Isoniazid was given. After two weeks of infusion no acid fast bacilli was detected and cavity size decreased. Direct infusion of anti-tubercular drugs is more efficient than systemic therapy alone. This is first of its kind in treating isolated tubercular abscess in paediatric patients. So, percutaneous infusion of anti-tubercular agents can be considered in the treatment of tubercular liver abscess.
Subject(s)
Administration, Cutaneous , Antitubercular Agents/administration & dosage , Child , Female , Humans , Isoniazid/administration & dosage , Liver/drug effects , Liver Abscess/diagnosis , Male , Tuberculosis, Hepatic/drug therapyABSTRACT
Transverse testicular ectopia is a rare entity where one testis migrates to the other inguinal area. Genital involvement due to tuberculosis is rare in children. Tubercular involvement in transverse testicular ectopic testis has not been reported earlier. A case of tuberculosis in transverse testicular ectopic testis is reported here where the testicular mass mimicked as a tumour. Histopathological examination confirmed the diagnosis.