Abstract:
Abstract : Eight cases of hepatic granulomata found in the investigation of P.
U. O. have been studied. Only 2 of these granulomata showed definite caseation.
With the limited investigations available to us and the high incidence of
tuberculosis these patients were successfuly treated with anti tuberculous therapy
on clinical suspicion. The liver biopsy is a useful diagnostic aid in the
management of P. U. O. In the setting of a developing country like Sri Lanka,
several aetiological agents may be responsible for hepatic granulomata. Our
findings suggest that Anti Tuberculous therapy is valuable in the management of
patients with hepatic granulomata in the presence of prolonged fever.
