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On assessment, she had serious wasting and hepatomegaly. On investigations, she had leukocytosis with 50% of eosinophilia, high ESR, multiple liver cysts (abdominal ultrasound and CT) and biopsy suggestive of TB. Finally, the individual started on anti-TB and her reaction was followed closely by clinical and laboratory variables. After three days of treatment with anti-TB, she begins to put on pounds, improve abdominal pain, desire for food loss, while the investigation also normalized (leu