title: Splenic tuberculosis associated with monoclonal gammopathy of undetermined significance and pericarditis.
abstract: 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.
authors: Department of Medicine and Geriatrics, United Christian Hospital, Kwun Tong, Hong Kong.
authors: W I
authors: WI
authors: Cheung
authors: Vincent K S
authors: VK
authors: Leung
authors: Ivy S C
authors: IS
authors: Luk
authors: Tony K L
authors: TK
authors: Loke
authors: James C S
authors: JC
authors: Chan
authors: T N
authors: TN
authors: Chau
mesh_terms: 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
chemical_list: D000995:Antitubercular Agents; D015415:Biomarkers