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Acta Médica Costarricense

On-line version ISSN 0001-6002Print version ISSN 0001-6012


VILLALOBOS-ZUNIGA, Manuel Antonio; QUINTANILLA-GALLO, Júvel  and  GOURZONG-TAYLOR, Charles. Tuberculosis hepática primaria como causa de fiebre de origen desconocido. Acta méd. costarric [online]. 2007, vol.49, n.4, pp.223-225. ISSN 0001-6002.

We present herein the case of a 29 a year old patient with fever, night sweats and weight loss. At the beginning he was thought to be suffering from classic dengue. Since the situation persisted for 3 weeks he was treated as classic fever of unknown origin. Due to non conclusive laboratory tests he underwent an exploratory laparotomy in order to get histologic samples, these showed caseous granulomas. This finding leads us to the diagnosis y hepatic tuberculosis. The patient was treated and the fever disappeared and 2 months later he started to gain weight.

Keywords : hepatic tuberculosis; fever of unknown origin; granulomas caseousus.

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