[Spleen and medullary tuberculosis].
Spleen is a rare extra-pulmonary tuberculosis manifestation. The spleen tuberculosis is caused by the blood derivative dissemination of mycobacteria. The symptoms can suggest a hematological disease, but it is difficult to make a diagnosis, especially when there are no pulmonary changes. The case of a 27-year-old woman with unclear etiology bone marrow hypoplasia was presented. The patient experienced: fever, body weight loss, pancytopenia and spleen enlargement with numerous focal echographic changes. The splenectomy revealed in a histopathologic examination productiva caseosa tuberculosis. The bone marrow trepanobiopsy revealed as well tuberculosis changes. The antimycobacteria treatment caused an improvement of the clinical state and the regression of symptoms.
Mazowieckie Centrum Leczenia Chorób Płuc i Gruźlicy w Otwocku. sekretariat.otw.@otwock-szpital.pl
Maria
M
Błachnio
Tadeusz M
TM
Zielonka
Ewa
E
Rzewuska
Olga
O
Mioduszewska
Renata
R
Maryniak
Antoni
A
Błachnio
D000328:Adult; D001853:Bone Marrow / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010198:Pancytopenia / Q000209:etiology; D013154:Spleen; D013156:Splenectomy; D014400:Tuberculosis, Splenic / Q000150:complications / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D014652:Vascular Diseases / Q000175:diagnosis
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