Isolated tubercular splenic abscess: can we defer splenectomy? Our single experience with anti-tuberculous therapy alone

Indian Journal of Medical Microbiology
S RayM Saha

Abstract

Isolated splenic tuberculosis is an exceedingly rare clinical condition. Microbiological confirmation of diagnosis in such cases is quite difficult. We encountered the case of a 35-year-old female, who presented with persistent low-grade fever and weight loss. The CT scan of the abdomen revealed multiple hypodense splenic lesions. No primary focus of infection was detected in any other organs. Fine needle aspiration of splenic lesion revealed acid-fast bacilli on Ziehl-Neelsen stain. With anti-tuberculous therapy, the lesions regressed significantly in size. We stress that splenic tuberculosis should be considered as a diagnostic possibility even in immunocompetent individuals and choose combination antituberculous therapy as the first line treatment with consideration of splenectomy depending on response.

References

Mar 1, 1991·Clinical Radiology·C C Wilde, Y K Kueh
Jan 1, 1993·Journal of Internal Medicine·V NayyarP Khanduri
Oct 15, 1998·The British Journal of Radiology·R SuriS Suri
Feb 24, 2001·Scandinavian Journal of Infectious Diseases·P L HoK Y Yuen
Feb 7, 2002·Lancet·C S PrameshS R Shah
Oct 3, 2002·American Journal of Respiratory and Critical Care Medicine·Hajime FukunagaTokuhiro Ishihara
Mar 28, 2008·ANZ Journal of Surgery·Satyendra K TiwaryAjay K Khanna
Jan 3, 2009·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Abbas Ali Imani FooladiTaghi Azizi
Apr 21, 2010·Indian Journal of Medical Microbiology·U UdgaonkarS Bhave
May 19, 2010·Gut and Liver·Biju PottakkatRajan Saxena
May 25, 2011·World Journal of Gastrointestinal Pathophysiology·Feng ZhanZhen-Jun Zhao
Jul 21, 2011·Asian Pacific Journal of Tropical Medicine·Parveen Rana KunduRajeev Sen

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Citations

Sep 22, 2015·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Kyong Joo LeeJae Woo Kim
Nov 3, 2020·Oxford Medical Case Reports·Ameer KakajeOthman Hamdan

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