Splenic Tuberculosis – A Rare Case Report

Title: Splenic Tuberculosis – A Rare Case Report

Authors: Dr Thiyam Brojendro Singh, Dr Jafar Niyas, Dr Laikangbam Subhalaxmi, Dr Karam Romeo Singh, Dr Santosh Kumar Singh, Dr Th Bhimo Singh

DOI: http://dx.doi.org/10.18535/jmscr/v3i12.01

Abstract

Involvement of spleen in tuberculosis mostly occurs as a part of miliary tuberculosis especially in immunocompromised individuals. It is extremely rare in the immunocompetent patients and only few cases reported internationally. Here we are reporting a rare case of 35 year old immunocompetent female who presented with evening rise of temperature , decreased appetite & loss of weight for the last 3 months and recurrent pain in left hypochondrium for one month. On evaluation found to have elevated ESR with a strongly positive mantoux test and multiple hypo echoic lesions in the spleen on ultrasound abdomen. Contrast enhanced computed tomography showed multiple hypodense lesions with significant wall enhancement in the spleen. Fine needle aspiration cytology showed focal areas of caseous necrosis with acid fast bacilli in Ziehl–Neelsen stain and the diagnosis of tuberculosis of spleen is confirmed. No primary focus of infection detected in the lungs or any other organs.

Keywords: tuberculosis, spleen, immunocompetent.

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Corresponding Author

Jafar Niyas

Department of Medicine, Regional Institute of Medical Sciences, Lamphelpat,

Imphal West, Manipur, India