Obstructive jaundice secondary to hepatic hilar tuberculosis without pulmonary involvement
  • Mohammad N. Kloub
    Department of Internal Medicine, Saint Michael’s Medical Center, Newark, USA
  • Khaled Elfert
    Department of Internal Medicine, SBH Health System, New York, USA
  • Ahmed Elnajjar
    Department of Internal Medicine, Gastroenterology and Hepatology, Hamad Medical Corporation, Doha, Qatar
  • Ahmad Alnasarat
    Department of Internal Medicine, Wayne State University/Detroit Medical Center Sinai Grace, Detroit, USA
  • Ghaith Alhadidi
    General physician
  • Atheer Anwar
    General physician
  • Raed Atiyat
    Department of Internal Medicine, Division of Gastroenterology and Hepatology, Saint Michael’s Med-ical Center, Newark, USA

Keywords

Tuberculosis, biliary TB, obstructive jaundice

Abstract

Tuberculosis (TB) is primarily a respiratory infection with huge mortality and morbidity worldwide. Extrapulmonary TB infection is common, affecting lymph nodes, pleura, and abdomen, but the primary biliary presentation without lung involvement is exceedingly rare. We report on a 38-year-old male patient who presented with isolated obstructive jaundice secondary to TB infection. This case highlights the importance of considering TB infection in the differential diagnosis of obstructive jaundice, especially in the endemic area. We also provide a literature review on TB infection, mainly in the biliary tract.

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References

  • Koch A, Mizrahi V. Mycobacterium tuberculosis. Trends micriobiol 2018;26:555–556.
  • Churchyard G, Kim P, Shah NS, Rustomjee R, Gandhi N, Mathema B, et al. What we know about tuberculosis transmission: an overview. J Infect Dis 2017;216:S629–S635.
  • Mbuh TP, Ane-Anyangwe I, Adeline W, Thumamo Pokam BD, Meriki HD, Mbacham WF. Bacteri-ologically confirmed extra pulmonary tuberculosis and treatment outcome of patients consulted and treated under program conditions in the littoral region of Cameroon. BMC Pulm Med 2019;19:17.
  • Cantres-Fonseca OJ, Rodriguez-Cintrón W, Del Olmo-Arroyo F, Baez-Corujo S.) Extra pulmonary tuberculosis: an overview. In: Chauhan NS, editor. Role of microbes in human health and diseases, London: IntechOpen; 2018, p. 5560.
  • Chong VH, Lim KS. Hepatobiliary tuberculosis. Singapore Med J 2010;51: 744–751.
  • Lee SY, Kang CY, Low SC, Chow KH. Tuberculous biliary stricture. Clin Jf Gastroenterol 2012;5: 53–58.
  • Colovic R, Grubor N, Jesic R, Micev M, Jovanovic T, Colovic N, et al. Tuberculous lymphadenitis as a cause of obstructive jaundice: a case report and literature review. World J Gastroenterol 2008;14:3098–3100.
  • Sivaraj SM, Sivacharan P, Mallikarjuna GR, Vamsikrishna PR, Ramakrishna BA, Thirunavukkarasu S. Primary biliary tuberculosis: a case report and review of literature. Arch Intl Surg 2013;3:150–153.
  • Amarapurkar DN, Patel ND, Amarapurkar AD. Hepatobiliary tuberculosis in western India. Indian J Pathol Microbiol 2008;51:175–181.
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    Published: 2024-01-19
    Issue: 2024: Vol 11 No 2 (view)


    How to cite:
    1.
    Kloub MN, Elfert K, Elnajjar A, Alnasarat A, Alhadidi G, Anwar A, Atiyat R. Obstructive jaundice secondary to hepatic hilar tuberculosis without pulmonary involvement: Biliary Tuberculosis. EJCRIM 2024;11 doi:10.12890/2024_004277.