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Table 6 Treatment regimens, outcomes, and mortality in hepatic TB case series

From: A systematic review of hepatic tuberculosis with considerations in human immunodeficiency virus co-infection

Lead Author (Year)

N

Treatment regimens (n)

Median duration (months)

Outcomes

Overall mortality (%)

Comments

Alvarez (1983) [29]

130

H, S, E, PAS (130), biliary stenting (6)

ND

87 improved on H, S, E, PAS; 3 decompressed with stent

12

Author recommends treatment for 12 months

Essop (1984) [18]

96

<2 drugs (10); >2 drugs (no R, H) (29); R, H, +others (16); no TX (37); undocumented (4)

ND

52 improved; 40 died; 4 undocumented

42

No TX mortality: 95%; <2 drug mortality: 20%; R, H, +others mortality: 0%

Kok (1999) [44]

5

ATT (5)

ND

5 improved

0

All local hepatic TB

Huang (2003) [49]

5

ATT (3), lobectomy (1), hepatectomy (2); no TX (2)

ND

4 improved; 1 died

20

All local hepatic TB

Desai (2006) [14]

7

R, H, Z, E for 2 months, then R, H for 4 months (7)

6

6 improved; 1 died

14

All local hepatic TB

Amarapurkar (2008) [76]

38

R, H, Z, E for 2 months, then R, H for 10 months (38)

12

38 improved

0

None

Tai (2008) [19]

10

ATT (10), left hepatic resection (3)

≥6

9 improved; 1 LTFU

0

None

Hwang (2009) [50]

12

ATT (12)

12

10 improved; 2 had persistent disease

0

Disease persisted in patients w/ liver abscesses

Gounder (2012) [30]

20

R, H, Z, E (20)

9

12 improved; 8 died

40

2 patients died from MDR/XDR-TB

  1. TB = Tuberculosis; H = Isoniazid; S = Streptomycin; E = Ethambutol; PAS = Paraaminosalicylic acid; ND = Not documented; R = Rifampin; TX = Treatment; ATT = Anti tuberculous therapy; Z = Pyrazinamide; LTFU = Lost to follow-up; MDR/XDR-TB = Multiple/extensively drug-resistant tuberculosis.