title: Isolated splenic tuberculosis.
abstract: The authors report two cases of isolated splenic tuberculosis treated since 1989 in Nizam's Institute of Medical Sciences. One case presented as pyrexia of unknown origin (PUO) and another with idiopathic thrombocytopenic purpura (ITP). Both were found to have splenic tuberculosis after splenectomy. Pre operative diagnosis could not be made in these cases. Splenectomy followed by antituberculous chemotherapy cured the condition in both the cases. The authors underline the diagnostic difficulties, essentially related to the rarity of this condition inspite of the progress in modern imaging.
authors.affiliation: Department of Surgical Gastroenterology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad-500 082, India.
authors.forename: N
authors.initials: N
authors.lastname: Bheerappa
authors.forename: R A
authors.initials: RA
authors.lastname: Sastry
authors.forename: V R
authors.initials: VR
authors.lastname: Srinivasan
authors.forename: C
authors.initials: C
authors.lastname: Sundaram
mesh_terms: D000293:Adolescent; D000995:Antitubercular Agents / Q000008:administration & dosage; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D005335:Fever of Unknown Origin / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011696:Purpura, Thrombocytopenic / Q000175:diagnosis; D013156:Splenectomy / Q000379:methods; D016896:Treatment Outcome; D014400:Tuberculosis, Splenic / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*
chemical_list: D000995:Antitubercular Agents