Splenic Tuberculosis: A Case Managed Successfully in a Resource Limited Rural Setup
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 3
Abstract
Abstract: Splenic tuberculosis per se in an immunocompetent individual is very rare. We came across a case of a middle aged, immunocompetent female who presented with fever, weight loss, and left hypochondriac pain. She had earlier been treated for pulmonary tuberculosis one year back and declared cured after six months of antitubercular chemotherapy. Ultrasonography and computed tomography of abdomen revealed multiple hypoechoic lesions in the spleen. After the diagnosis of splenic tuberculosis, the patient was started on combination of antitubercular drugs under category two. She had a favourable response with antitubercular chemotherapy. Follow- up ultrasonography of abdomen after 3months of antitubercular therapy showed significant resolution of splenic hypoechoic lesions. We recommend that, splenic tuberculosis should be considered as a diagnostic possibility in patients belonging to endemic areas for tuberculosis, with splenic involvement, especially in those having a past history of tuberculosis, even though the individual is immunocompetent. This case highlights the fact that, these patients can be diagnosed by non-invasive imaging and managed by medical treatment effectively in a setting with limited resources. Keywords: Antitubercular treatment, Extrapulmonary tuberculosis, Hypoechoic lesions, Splenectomy, Splenic tuberculosis
Authors and Affiliations
Shruthi Bettegowda, Vimala Sheshadri Iyengar, Shivaranjan Kambadahalli Pillappa, Srikanth Byadarahally Paregowda
Keywords
Related Articles
- EP ID EP374920
- DOI -
- Views 40
- Downloads 0
Monotherapy using Cefepime in Comparison to Dual Therapy (PIP/TAZO plus Amikacin) for Febrile Neutropenic Pediatric Patients with Solid Tumors
Infectious diseases are important causes of morbidity and mortality in patients with cancer. Neutropenia has been recognized form any decades as a major risk factor for the development of infections in cancer patients un...
Risk of Severe Pulmonary Tuberculosis in Smokers and in Patients with COPD
Tuberculosis is a major public health problem. Some patients present with minimal lesions where as others present with advanced lesions. This is a Case control study to identify the strength of associations between smoki...
Study of clinical profile, etiology and immediate outcome in Non-traumatic coma in children
Abstract: Etiology of coma and clinical status at the time of presentation are likely predictors of outcome in cases of non-traumatic coma. The present study included of clinical profile, etiology of non-traumatic coma a...
Clinical Profile of MDR Tuberculosis Patients Attending Tertiary Care Centre, S.N Medical College, Agra
Abstract: Emergence of drug resistant tuberculosis, particularly multi drug resistant TB (MDR-TB) and extensively drug resistant TB (XDR-TB) has become an obstacle to effective TB control in India. The study aims to find...
Role of High Resolution Sonography in Differentiating Benign and Malignant Nodules of Thyroid
Thyroid nodules are extremely common. It found in 4–8% of adults by population, 10–41% by ultrasound, and 50% at autopsy.¬¬ High resolution ultrasound is the primary imaging modality for the evaluation of these nodules....