Tuberculous splenic abscess in the immunocompetent host: a report and review of literature

Submitted: September 10, 2019
Accepted: January 19, 2020
Published: February 18, 2020
Abstract Views: 1197
PDF: 636
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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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Sahoo, Satyajeet, Suprava Naik, Baijayantimala Mishra, Gopal Durgeshwar, Manoj Kumar Panigrahi, and Sourin Bhuniya. 2020. “Tuberculous Splenic Abscess in the Immunocompetent Host: A Report and Review of Literature”. Monaldi Archives for Chest Disease 90 (1). https://doi.org/10.4081/monaldi.2020.1167.