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CASE REPORT
Year : 2018  |  Volume : 2  |  Issue : 3  |  Page : 120-122

Splenic tuberculosis in immunocompetent patient: A case report and literature review


1 Department of Medicine, Hamad General Hospital, HMC, Doha, Qatar
2 Department of Medicine, Hamad General Hospital, HMC; Weill Cornell Medical College, Doha, Qatar
3 Department of Medicine, Hamad General Hospital, HMC; Weill Cornell Medical College; College of Medicine - Qatar University, Doha, Qatar

Correspondence Address:
Dr. Fahmi Yousef Khan
Department of Medicine, Hamad General Hospital, HMC, Weill Cornell Medical/Doha
Qatar
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/LJMS.LJMS_34_18

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Splenic tuberculosis (TB) is usually seen as part of disseminated TB, especially in immunocompromised patients. We report such a case in a 23-year-old immunocompetent male patient who presented with a 10-day history of left-sided abdominal pain and fever. Computed tomography (CT) of the abdomen showed an enlargement of the spleen with multiple hypodense lesions, some of them with septations, the largest measuring 6.9 cm × 5.4 cm, in addition to multiple lymph nodes. Chest X-ray showed left apical fibronodular infiltrate with prominent left hilar region suggestive of enlarge lymph node. Sputum for acid-fast bacilli was positive, and the patient was initiated on 4-drug anti-tuberculous treatment. The diagnosis of splenic TB was retrospectively confirmed based on a complete regression of the splenic lesions on the follow-up CT of the abdomen.


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