Figure 1. Abdominal tomography showing hepatosplenomegaly with heterogeneity of hepatic parenchyma and increased portal vein caliber and splenic (asterisk).
| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
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Case Report
Volume 6, Number 8, August 2015, pages 336-338
Portal Hypertension and Fever Secondary to Granulomatous Hepatitis by Tuberculosis
Figures
Table
| Laboratory tests |
|---|
| Tuberculin test: 0 mm |
| VDRL: no reagent Viral serology for hepatitis (B and C): negative/anti-HBs + Serology for toxoplasmosis: IgG + IgM- Anti-HIV: no blood cultures reagent (three samples): negative Urine culture: no bacterial growth |
| Beta-2-microglobulin = 4.47 μg/mL Reticulocytes 0.93% VIT B12 1,200 pg/mL |
| Myelogram: slightly hypercellular. Series lymph-mono-plasma cell: lymphocytes around 4%. Plasma cells around 5%. Presence of rare macrophages presenting hemophagocytosis. Suggestive of reactive marrow. Upper digestive endoscopy: enanthematous gastritis body and erosive den. Bilious gastric stasis Protein electrophoresis: decreased albumin/globulin K39: no reaction Fe saturation index: 7%; ferritin: 432.04 ng/mL; serum iron: 19 g/dL Antinuclear factor: not reagent Free T4: 1.00 ng/dL Serology for EBV IgG: 750 U/mL; IgM: 10 U/mL - no reagent serology for CMV IgG: 245.40 AU/mL; IgM: 0.18 index - not reagent Bone marrow biopsy: absence of neoplasia. Normocellular marrow bone, myeloid hyperplasia, mild diseritropoiese. Transesophageal echocardiography: normal, with EF 70%. Serology for brucellosis IgG and IgM: negative Liver Doppler: Identifies increase the speedometer of the common hepatic artery and hepatic veins. Increased gate diameter of the vein. Side of absence. Abdominal ultrasound: hepatomegaly homogeneous and gall bladder collapsed |