Pneumology - Case Reports
Vol. 90 No. 1 (2020)
https://doi.org/10.4081/monaldi.2020.1167

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

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Received: 10 September 2019
Published: 18 February 2020
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Splenic tuberculosis, splenic abscess, disseminated tuberculosis, immunocompetent

Authors

Satyajeet Sahoo
Department of Pulmonary Medicine and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, India.
Suprava Naik
Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, India.
Baijayantimala Mishra
Department of Microbiology, All India Institute of Medical Sciences, Bhubaneswar, India.
Gopal Durgeshwar
Department of Pulmonary Medicine and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, India.
Manoj Kumar Panigrahi
Department of Pulmonary Medicine and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, India.
Sourin Bhuniya
sbhuniya@hotmail.com
Department of Pulmonary Medicine and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, India.

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.

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