{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:28:11Z","timestamp":1787776091177,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"\n A\n BSTRACT<\/jats:sc>\n <\/jats:title>\n \n Tubercular hepatic abscesses in the geriatric population are rare and often misdiagnosed, frequently leading to delayed or presumptive treatment based on tissue biopsy findings. Early and accurate diagnosis using advanced diagnostic tools is crucial for improving prognosis. We present the case of a 65-year-old immunocompetent male who reported a three-month history of fever and one month of right hypochondrial pain. Diagnosis of a tubercular hepatic abscess was confirmed using a cartridge-based nucleic acid amplification test (CBNAAT), which isolated\n Mycobacterium tuberculosis<\/jats:italic>\n sensitive to rifampicin. The patient was treated successfully with a standard anti-tubercular regimen. Although cases of tubercular liver abscesses have been documented, using CBNAAT for direct identification from pus samples is rare. Misidentification of such abscesses as bacterial or neoplastic often results in inappropriate treatment, increasing the risk of mortality. This case highlights the importance of early diagnosis and prompt initiation of appropriate therapy to improve outcomes.\n <\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_54_25","type":"journal-article","created":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T06:00:52Z","timestamp":1752904852000},"page":"3025-3027","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Rare cause of extrapulmonary tuberculosis in an immunocompetent elderly patient"],"prefix":"10.4103","volume":"14","author":[{"given":"Srishti","family":"Tiwari","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anup","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,21]]},"reference":[{"key":"R1-20250804","doi-asserted-by":"crossref","first-page":"e05049","DOI":"10.1002\/ccr3.5049","article-title":"Isolated tuberculosis liver abscess in an immunocompetent patient","volume":"9","author":"Sallam","year":"2021","journal-title":"Clin Case Rep"},{"key":"R2-20250804","first-page":"207","article-title":"Hepatobiliary tuberculosis","volume":"27","author":"Chaudhary","year":"2014","journal-title":"Ann Gastroenterol"},{"key":"R3-20250804","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s11908-016-0546-5","article-title":"Hepatic and intra-abdominal tuberculosis: 2016 update","volume":"18","author":"Evans","year":"2016","journal-title":"Curr Infect Dis Rep"},{"key":"R4-20250804","doi-asserted-by":"crossref","first-page":"175","DOI":"10.4103\/0377-4929.41644","article-title":"Hepatobiliary tuberculosis in western India","volume":"51","author":"Amarapurkar","year":"2008","journal-title":"Indian J Pathol Microbiol"},{"key":"R5-20250804","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1093\/bmb\/ldz032","article-title":"Liver abscess: Diagnostic and management issues found in the low resource setting","volume":"132","author":"Khim","year":"2019","journal-title":"Br Med Bull"},{"key":"R6-20250804","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1186\/s12879-015-0944-6","article-title":"A systematic review of hepatic tuberculosis with considerations in human immunodeficiency virus co-infection","volume":"15","author":"Hickey","year":"2015","journal-title":"BMC Infect Dis"},{"key":"R7-20250804","doi-asserted-by":"crossref","first-page":"1818","DOI":"10.1128\/JCM.03553-13","article-title":"Diagnostic accuracy of Xpert MTB\/RIF for extrapulmonary tuberculosis specimens: Establishing a laboratory testing algorithm for South Africa","volume":"52","author":"Scott","year":"2014","journal-title":"J Clin Microbiol"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_54_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:48:54Z","timestamp":1787773734000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_54_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":7,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_54_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-01-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}