The symptoms of liver tuberculosis are as follows

summary

Liver tuberculosis is rare, because of the lack of specific symptoms and signs, so the clinical misdiagnosis and mistreatment rate is high. Most liver tuberculosis is a part of systemic miliary tuberculosis, which is called secondary liver tuberculosis. The main manifestations of patients are extrahepatic pulmonary, intestinal and other clinical manifestations caused by tuberculosis. Generally, there are no clinical symptoms of liver disease. After anti tuberculosis treatment, intrahepatic tuberculosis can be cured, and it is difficult to make the diagnosis of liver tuberculosis clinically. Now let me talk to you about the symptoms of liver tuberculosis.

The symptoms of liver tuberculosis are as follows

First, the main symptoms of the disease are fever, loss of appetite, fatigue, abdominal pain in the liver or right upper quadrant and hepatomegaly. Fever usually occurs in the afternoon, sometimes accompanied by chills and night sweats; There are low fever and flaccid fever. High fever can reach 39-41 ℃. 91.3% of the patients have fever symptoms. Those who have tuberculosis or have a clear history of tuberculosis have long-term recurrent fever, and those who exclude other causes often have the possibility of liver tuberculosis. Hepatomegaly was the main sign, more than half of them had tenderness, hard liver and nodular mass; About 15% of the patients may have mild jaundice due to the compression of hepatobiliary duct by nodules, and 10% of the patients have ascites.

Second: it is sometimes difficult to differentiate between localized liver tuberculosis and liver cancer, while miliary liver tuberculosis is sometimes confused with diffuse liver cancer. However, the latter has serious disease, rapid development of disease course, AFP positive, combined with the history of chronic liver disease, it can be generally differentiated.

Third: the abscess of liver tuberculosis should be differentiated from amebic or bacterial liver abscess. Bacterial liver abscess is mostly secondary to biliary tract infection. The symptoms of systemic poisoning are severe, with chills and high fever. Amebic liver abscess has a history of purulent bloody stool. The abscess is generally large, and the pus is chocolate colored, which is not difficult to identify.

matters needing attention

First of all, active tuberculosis should be cured actively, as soon as possible and thoroughly to make sputum negative. 2. Develop good health habits, do not swallow the sputum containing Mycobacterium tuberculosis. 3. The tableware of patients with active pulmonary tuberculosis should be used alone and boiled regularly to prevent cross infection. 4. Milk must be pasteurized or boiled instead of raw milk. 5. Strengthen personal hygiene, dry clothes, bedding and other daily necessities frequently, and kill the polluted Mycobacterium tuberculosis. 6. Strengthen physical exercise to improve disease resistance.