Skin and Lung Tuberculosis and Anti Tuberculosis Drug Liver Injury (ATLI)

Female, 57 years old with tuberculosis on the lung and skin lesion, came to hospital with chief of complaint nausea, and vomiting after taking an oral antituberculosis for one month. Patient with lung tuberculosis and extrapulmonary (skin tuberculosis) but unknown liver cirrhotic before oral antituberculosis treatment. Laboratory results revealed increased AST, ALT, total bilirubin and decreased liver function. Patient diagnosed with skin and lung tuberculosis and anti Tuberculosis drug Liver Injury (ATLI). We do reintroducing of antituberculosis as protocol with observation of liver function test carefully.