Pneumology - Case Reports
18 February 2020
Vol. 90 No. 1 (2020)
Tuberculous splenic abscess in the immunocompetent host: a report and review of literature
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Tubercular splenic abscess is rare, particularly in immunocompetent patients. Diagnostic difficulties usually arise in patients with tubercular splenic abscess because of its non-specific presentation. We report an elderly male who presented with cough and fever and had pulmonary infiltrates suspicious of tuberculosis. Bronchoalveolar lavage microbiology including XpertMTB/Rif assay was non-contributory. Contrast enhanced computed tomography scan of abdomen revealed multiple non-enhancing lesions in the spleen. Ultrasound guided splenic aspirate revealed pus that was positive for Mycobacterium tuberculosis in XpertMTB/Rif assay confirming the diagnosis of tuberculosis.
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“Tuberculous Splenic Abscess in the Immunocompetent Host: A Report and Review of Literature”. 2020. Monaldi Archives for Chest Disease 90 (1). https://doi.org/10.4081/monaldi.2020.1167.