本文報告一例36歲男性酒精性肝病患者，因發燒及右上肢腫脹入院。住院期間，患者被診斷為肝硬化併發開放性肺結核、鮑氏不動桿菌感染和結核菌血症。儘管給予包括抗結核藥物和支持性治療等積極治療，患者最終仍因多重器官衰竭死亡。本病例突顯了肝硬化患者結核感染的診斷和治療挑戰，並強調了早期診斷和個人化治療方法的重要性。

We report a case of a 36-year-old male patient with alcoholic liver disease who was admitted due to fever and right upper limb swelling. During hospitalization, the patient was diagnosed with liver cirrhosis complicated by open pulmonary tubercu-losis, Acinetobacter baumannii and tuberculous bacteremia. Despite aggressive treatment, including anti-tuberculosis medications and supportive care, the patient died due to multiple organ failure. This case highlights the diagnostic and therapeu-tic challenges of tuberculosis infection in cirrhotic patients and emphasizes the im-portance of early diagnosis and individualized treatment approaches.