Tuberculosis of the spleen: a case report.
A 40-year old Thai male presented with epigastric discomfort and weight loss without fever for 2 months. On examination, there was no hepatosplenomegaly or lymphadenopathy. His ultrasonogram showed multiple lesions in the spleen with enlarged abdominal lymph nodes. Pathology revealed caseating granulomas of the spleen and lymph nodes. No AFB were seen but PCR was positive for M. tuberculosis complex. The fever resolved within 3 days of surgery and the patient was treated with antituberculous drugs.
Department of Medicine, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand. chaikorat@gmail.com
Somchai
S
Insiripong
Weera
W
Suwanreungsri
D000328:Adult; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D016133:Polymerase Chain Reaction; D013154:Spleen / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology*; D013785:Thailand; D014400:Tuberculosis, Splenic / Q000175:diagnosis* / Q000473:pathology; D014463:Ultrasonography