| Popis: |
From the year 1997 to 2000, 146 liver biopsies were performed in 140 AIDS patients, admited to Bamrasnaradura hospital with prolonged fever (73.6%), hepatomegaly (71.4%) and abnormal liver function test (69.3%) being the principle indications. The findings of liver biopsies included TB (18), MAC (14), Cryptococcosis (10), Histoplasmosis (6), Penicillosis (4), CMV (2) and 7 granulomas in which no organism was identified. Opportunistic infections were found in 61 of 146 biopsies (41.8%). Neoplasm was seen in 22 biopsies (15.1%); the most common neoplasm was hepatocellular carcinoma, found in 16 biopsies (11%). Other findings included chronic active hepatitis (3), cirrhosis (3) and alcoholic hepatitis (1). The liver biopsy is a helpful diagnostic tool in AIDS patients with prolonged fever, hepatomegaly or abnormal liver function tests. |
