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首页> 外文期刊>The Indian journal of tuberculosis >ISOLATED TUBERCULAR LIVER ABSCESS IN CHILDREN TREATED WITH PERCUTANEOUS ISONIAZID INFUSION
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ISOLATED TUBERCULAR LIVER ABSCESS IN CHILDREN TREATED WITH PERCUTANEOUS ISONIAZID INFUSION

机译：经皮异烟肼浸润治疗儿童的孤立性肾小管肝吸收

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摘要

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.
机译：孤立的结核性肝脓肿主要报道于成年患者。我们报告了两例小儿患者孤立性结核性肝脓肿。通过临床和超声引导的脓液显示耐酸杆菌的诊断为一例。在第二种情况下，脓肿壁的活检是确定的。在这两种情况下，均经皮脓液引流和经导管输注异烟肼。输注两周后，未检测到耐酸杆菌，并且腔体尺寸减小。直接输注抗结核药物比单独全身治疗更有效。这在治疗小儿结核性孤立性脓肿中尚属首次。因此，在结核性肝脓肿的治疗中可以考虑经皮输注抗结核药。

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