Abstract

Tuberculosis of spleen is an extremely rare clinical entity. It often poses diagnostic difficulties as microbiological confirmation of diagnosis is not easy. We encountered two casas who presented with prolong fever but no other symptoms. Laboratory data provided no specific information for diagnosis. Abdominal ultrasonography revealed splenomegaly with multiple small hypoechoic lesions within the spleen. A diagnosis of isolated splenic tuberculosis was confirmed after a splenic puncture and histopathological examination.DOI: http://dx.doi.org/10.3329/jom.v14i1.14586 J MEDICINE 2013; 14 : 88-90

Highlights

  • IntroductionIt was believed that with producing effective drugs against it, tuberculosis would not be much more a problem for human health but with its increasing incidence since early 1980’s and development of new resistant forms, we recognized our ignorance about all aspects of this disease

  • Tuberculosis is perhaps as old as mankind

  • Tuberculosis is a multi-system disease, 90% of which locates primarily in lung, whereas isolated splenic tuberculosis, as we present here, is a rare form of extra pulmonary TB

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Summary

Introduction

It was believed that with producing effective drugs against it, tuberculosis would not be much more a problem for human health but with its increasing incidence since early 1980’s and development of new resistant forms, we recognized our ignorance about all aspects of this disease These case reports introduce patient with a rare presentation of this “King of diseases”. Case No 2 A 32- year- old women presented with a history of prolong fever, loss of appetite and weight loss for 3 months. On examination, she was moderately anaemic and febrile.

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