Isolated Tubercular Splenic Abscess: A Case Report

Abstract

Tuberculosis is one of the deadliest infectious illnesses in the world. Splenic tuberculosis is typically a component of miliary TB, ranks third after lung and liver, and is more prevalent in people with weakened immune systems. An extremely uncommon variant of abdominal tuberculosis is splenic TB in immune-competent people with no extra splenic involvement. In individuals without pulmonary disease and without symptoms, splenic TB diagnosis is challenging. There are frequently no diagnostic standards for isolated TB. A definitive diagnosis is rarely reached by preoperative testing. When other potential causes of fever and splenomegaly have been ruled out in endemic areas, splenic TB should be suspected. The typical treatment for splenic TB without abscess is medical management (ATT). For splenectomy, a single TB splenic abscess in a healthy patient is recommended. Here we report the case of a 33-year-old patient, who complained of left-sided stomach pain that had been bothering him for four years but was unrelated to radiation or food consumption. It has been linked to several high-grade fever bouts and frequent hospitalizations for the same during the past three years. With standard preoperative pneumococcal immunization, the patient is scheduled for a routine open splenectomy.