Multidrug-resistant Tubercular Liver Abscess in β-thalassemia.

ABSTRACT

Background: Liver abscesses in thalassemics are predominantly pyogenic. Case characteristics 12-year-old thalassemic boy with abdominal pain and high grade fever for 15 days. Observation CT abdomen revealed multiple liver abscesses. Pus culture and sensitivity showed multidrug-resistant mycobacteria. Patient was started on second line anti-tubercular drugs. Outcome: He responded well with symptomatic improvement and is doing well after 6 months of follow-up. Message Liver abscess in patients with thalassemia rarely can be tubercular.