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 62
- Downloads 0
Comparison of ECG Changes between Healthy Females of Different Age Groups
With advancing age, degenerative changes occur in heart muscle and its conduction system. This study was undertaken to see the ECG changes in different age groups of healthy females. A cross sectional study was conducted...
Adrenal tumours: Five years audit in a tertiary care centre
Adrenal gland is not handled routinely by the urologist because it is not so common. Surgical indications are not clearly defined. We present here the cases of adrenals who had undergone surgery for various indications i...
Widespread Subcutaneous Emphysema Developing After Thyroglossal Canal Cyst Surgery
Abstract: Thyroglossal ductus cyst is the most commonly occurring congenital neck mass on the midline of neck. During the embryologic development of thyroid gland, thyroglossal ductus is formed and after thyroid gland co...
Utility of Raised Adenosine Deaminase Activity in Cerebrospinal Fluid in the Diagnosis of Tuberculous Meningitis in Children
Abstract: The diagnosis of tuberculous meningitis cannot be made or excluded on the basis of clinical findings. Definite laboratory diagnosis is cumbersome and time consuming. Delay in diagnosis and institution of proper...
Diagnostic performance of automated Analyzers versus manual method for WBCs measurement among Population of Wad Madani, Gezira State, Sudan
Abstract: The automated hematology analyzer with complete blood count (CBC) results has replaced the traditional manual or individual assay methods for hematological parameters and the eye count leukocyte differential as...