Splenic tuberculosis associated with monoclonal gammopathy of undetermined significance and pericarditis.
Tuberculosis usually affects the respiratory system, but it may present atypically involving multiple systems, extrapulmonary systems, and manifest as a protein disorder. Here we report a case of splenic tuberculosis associated with monoclonal gammopathy of undetermined significance, and pericarditis. The diagnosis, confirmed by a plugged biopsy of the spleen, precluded the need for splenectomy in this patient and allowed prompt initiation of treatment, thereby avoiding the complications of tuberculous pericarditis and splenic infection.
Cheung
W I
WI
Department of Medicine and Geriatrics, United Christian Hospital, Kwun Tong, Hong Kong.
Leung
Vincent K S
VK
Luk
Ivy S C
IS
Loke
Tony K L
TK
Chan
James C S
JC
Chau
T N
TN
D000995:Antitubercular Agents / Q000627:therapeutic use; D015415:Biomarkers / Q000032:analysis; D001706:Biopsy; D005260:Female; D006801:Humans; D008875:Middle Aged; D010265:Paraproteinemias / Q000150:complications* / Q000175:diagnosis; D010493:Pericarditis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D014400:Tuberculosis, Splenic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000995:Antitubercular Agents; D015415:Biomarkers