TUBERCULOSIS OF SPLEEN IN AN IMMUNOCOMPETENT HOST – A RARE CASE REPORT

Dr. Anand. K. R, Dr. Elen Ann Abraham, Dr.Raja Amarnath. G

Abstract


Extrapulmonary tuberculosis (EPTB) constitutes 15-20% of all cases, of which 3% are abdominal tuberculosis (TB). Ileum, jejunum, colon & peritoneum are the commonly affected abdominal sites, whereas splenic involvement is rare. Here, we report a 42year old male with no comorbidities, who presented with fever, left hypochondriac pain and constitutional symptoms. Abdominal examination revealed splenomegaly and other system examinations were unremarkable. Contrast-enhanced computed tomography (CECT) abdomen revealed a single large low attenuation area in the spleen. Fine needle aspiration cytology (FNAC) of the lesion showed caseating granulomas suggestive of tuberculous lesion. He was treated with antitubercular medications for 6 months and there was complete resolution of the lesion. Isolated splenic tuberculosis in an immunocompetent individual is a rare occurrence. A high index of suspicion is needed to diagnose splenic TB in an individual who presents with chronic fever, abdominal pain, and constitutional symptoms

Keywords


Extrapulmonary, Splenic tuberculosis, immunocompetent.

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