title: Spontaneous rupture of tuberculous spleen in a HIV seropositive patient on maintenance hemodialysis.
abstract: Spontaneous rupture of the spleen usually occurs secondary to infection, hematological disorders or infiltrative lesions of the spleen. In patients with positive human immunodeficiency virus (HIV) antibodies and the acquired immunodeficiency syndrome (AIDS) who present with acute abdomen, splenic rupture should be considered as a possible cause and should additionally be investigated for co-infection with tuberculosis. Spontaneous rupture of spleen in asymptomatic patients requires a high index of suspicion for diagnosis. We herein report on a HIV-positive patient on maintenance hemodialysis, who presented with spontaneous rupture of a tuberculous spleen.
authors.affiliation: Department of Internal Medicine, Christian Medical College and Hospital, Ludhiana, Punjab, India.
authors.forename: Shubhra
authors.initials: S
authors.lastname: Rathore
authors.forename: Pratish
authors.initials: P
authors.lastname: George
authors.forename: Michael
authors.initials: M
authors.lastname: Deodhar
authors.forename: Nalini
authors.initials: N
authors.lastname: Calton
authors.forename: Uttam
authors.initials: U
authors.lastname: George
authors.forename: Basant
authors.initials: B
authors.lastname: Pawar
authors.forename: Pankaj
authors.initials: P
authors.lastname: Sircar
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D023241:Antiretroviral Therapy, Highly Active; D000995:Antitubercular Agents / Q000627:therapeutic use; D001803:Blood Transfusion; D005440:Fluid Therapy; D006679:HIV Seropositivity / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D006435:Renal Dialysis; D013156:Splenectomy; D013161:Splenic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014400:Tuberculosis, Splenic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents