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

  • 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.

Abstract

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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Published
2020-02-18
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Section
Pneumology - Case Reports
Keywords:
Splenic tuberculosis, splenic abscess, disseminated tuberculosis, immunocompetent
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How to Cite
Sahoo, S., Naik, S., Mishra, B., Durgeshwar, G., Panigrahi, M. K., & Bhuniya, S. (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

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