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Indian Journal of Communicable Diseases

Volume  5, Issue 2, July - December 2019, Pages 63-64

 

Case Report

Splenic Abscess: An Unusual Presentation of Tuberculosis
Syed Mohsin Ishaq1, VPS Punia2, Mehak Lamba3, Aproov Singhal4, Praveen Raman Mishra5, Showkat Nazir Wani6, Seher Kirmani7
1Senior Resident, Dept. of Internal Medicine, School of Medical Science and Research, Sharda University, Greater Noida, Uttar Pradesh ,2Professor 3Asistant Professor 4,5,PG II year 6Senior Resident, Dept. of Internal Medicine, 7MBBS, School of Medical Science and Research, Sharda University, Greater Noida, Uttar Pradesh 201310
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DOI: 10.21088/ijcd.2395.6631.5219.4

Abstract

Pulmonary tuberculosis though common in indian subcontinent, but tubercular splenic abscess is an unusual presentation. We report a 41 year old female who presented with symptoms of fever, abdominal pain, loss of appetite and weight loss for 2 months. Her examination revealed splenomegaly besides other non specific findings. Splenic tuberculosis is a differential to be considered, particularly where the disease is endemic. Labs revealed positive mantoux test. CECT abdomen showed multiple hypo-dense lesions in both liver and spleen hinting towards abscesses. Histopathological examination of CT guided biopsy specimen showed features consistent with and confirmed a diagnosis of splenic tuberculosis.

Keywords: Splenic Abscess; Tuberculosis.


Corresponding Author : VPS Punia