TY - JOUR AU - Sahoo, Satyajeet AU - Naik, Suprava AU - Mishra, Baijayantimala AU - Durgeshwar, Gopal AU - Panigrahi, Manoj Kumar AU - Bhuniya, Sourin PY - 2020/02/18 Y2 - 2024/03/28 TI - Tuberculous splenic abscess in the immunocompetent host: a report and review of literature JF - Monaldi Archives for Chest Disease JA - Monaldi Arch Chest Dis VL - 90 IS - 1 SE - Pneumology - Case Reports DO - 10.4081/monaldi.2020.1167 UR - https://www.monaldi-archives.org/macd/article/view/1167 SP - AB - <p>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 <em>Mycobacterium tuberculosis</em> in XpertMTB/Rif assay confirming the diagnosis of tuberculosis.</p> ER -