[Symptomatic hypercalcemia presenting as a case of isolated splenic tuberculosis].
OBJECTIVE
To describe an unusual clinical presentation as isolated splenic tuberculosis.


METHODS
We report a case of isolated splenic tuberculosis, a rare form of extrapulmonary tuberculosis in an immunocompetent patient, and, as a peculiarity, debuts in the form of symptomatic hypercalcemia.


RESULTS
We deeply report the clinical case and the procedures performed to exclude other diseases. We emphasize the usefulness of fine needle aspiration of the spleen to obtain microbiological samples, and the use of specific polymerase chain reaction for mycobacterias to establish the definitive diagnosis of this entity. In agreement with other authors, we chose initial medical treatment with antituberculous drugs, reserving surgery for refractory cases or in case of spontaneous splenic rupture.


CONCLUSIONS
Hypercalcemia can be a presentation of granulomatous diseases. The isolated involvement of the spleen by mycobacterias is a rare form of extrapulmonary tuberculosis and more so in immunocompetent patients.
Servicio de Medicina Interna, Hospital Universitario de Getafe, Getafe, Madrid, España. luciafdezdeorueta@gmail.com
Lucía
L
Fernández de Orueta
Sergio
S
Rodríguez Álvarez
Jorge
J
Núñez Otero
Mariano
M
Gómez Rubio
Juana
J
Cacho Calvo
Javier
J
Esteban Fernández
D000368:Aged; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology*; D008297:Male; D014400:Tuberculosis, Splenic / Q000150:complications / Q000175:diagnosis*