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박재홍,백홍선,고재기,이양근,이중열,안득수 ( jai Hong Park,Hong Sun Baek,Jai Ki Ko,Yang Kun Lee,Jung Yeol Rhee,Deuk Soo Ahn ) 대한소화기학회 1980 대한소화기학회지 Vol.12 No.1
Miliary t:;!'oerculosis of the liver is not often considered as a cause in obscure illness, fever of ur.determir.ed origin or hepatomegaly. A 3p year-old man had suffered from unL.nown fever and chillness, nausea and weight loss for 1p months and had a history of tuberculous pleurisy, confirmed by pleural biopsy in 25 year-old of his age. In local clinic, because of high fever, he had received treatment under the impression of typhoid fever but no improvement vas noted. Physical exaniination on admission revealed that blood pressure was 1ZO/80 mmHg, respira- tion 20/minute, the pulse 100/minute, temperature Rg'C. General appearance was chronic ill and hepato..iegalv and splenomegaly were noted on palpation. On laboratory data showed persistent leukopenia (2,200/mm to 3,400/mm), but bone marrow biopsy was within normal range. Liver scan sliowed hepatospenomegaly and multiple cold area noted. Liver biopsy revealed multiple tubercle with caseous necrotic lesion and large gi,..; cells around the tubercle noted.