Isolated Splenic Cold Abscesses with Perisplenic Extension: Treated Successfully without Splenectomy
Splenic tuberculosis (TB) in the form of multiple splenic cold abscesses with perisplenic extensions is a rare disease, especially in an immunocompetent host. It demonstrates diagnostic complexity, which makes identification of the disease difficult. We report a case of an immunocompetent adult male...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/9864543 |
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| _version_ | 1832552785547100160 |
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| author | Mohan Khadka Ravi Pradhan |
| author_facet | Mohan Khadka Ravi Pradhan |
| author_sort | Mohan Khadka |
| collection | DOAJ |
| description | Splenic tuberculosis (TB) in the form of multiple splenic cold abscesses with perisplenic extensions is a rare disease, especially in an immunocompetent host. It demonstrates diagnostic complexity, which makes identification of the disease difficult. We report a case of an immunocompetent adult male who presented with fever, pain in the left lower chest, decreased appetite, and significant weight loss. On physical examination, he had tenderness in the left lower infra-axillary region and Traube’s space dullness without palpable spleen. Ultrasound-guided aspiration of the abscess fluid revealed Mycobacterium tuberculosis (MTB) by polymerase chain reaction (PCR). No primary focus of the infection was detected in the lungs or any other organs. The patient was successfully treated with antitubercular therapy (ATT). |
| format | Article |
| id | doaj-art-831441141aa743b78f0c0b183a7c661b |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-831441141aa743b78f0c0b183a7c661b2025-02-03T05:57:49ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/98645439864543Isolated Splenic Cold Abscesses with Perisplenic Extension: Treated Successfully without SplenectomyMohan Khadka0Ravi Pradhan1ADK Hospital, Malé, MaldivesInstitute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, NepalSplenic tuberculosis (TB) in the form of multiple splenic cold abscesses with perisplenic extensions is a rare disease, especially in an immunocompetent host. It demonstrates diagnostic complexity, which makes identification of the disease difficult. We report a case of an immunocompetent adult male who presented with fever, pain in the left lower chest, decreased appetite, and significant weight loss. On physical examination, he had tenderness in the left lower infra-axillary region and Traube’s space dullness without palpable spleen. Ultrasound-guided aspiration of the abscess fluid revealed Mycobacterium tuberculosis (MTB) by polymerase chain reaction (PCR). No primary focus of the infection was detected in the lungs or any other organs. The patient was successfully treated with antitubercular therapy (ATT).http://dx.doi.org/10.1155/2017/9864543 |
| spellingShingle | Mohan Khadka Ravi Pradhan Isolated Splenic Cold Abscesses with Perisplenic Extension: Treated Successfully without Splenectomy Case Reports in Gastrointestinal Medicine |
| title | Isolated Splenic Cold Abscesses with Perisplenic Extension: Treated Successfully without Splenectomy |
| title_full | Isolated Splenic Cold Abscesses with Perisplenic Extension: Treated Successfully without Splenectomy |
| title_fullStr | Isolated Splenic Cold Abscesses with Perisplenic Extension: Treated Successfully without Splenectomy |
| title_full_unstemmed | Isolated Splenic Cold Abscesses with Perisplenic Extension: Treated Successfully without Splenectomy |
| title_short | Isolated Splenic Cold Abscesses with Perisplenic Extension: Treated Successfully without Splenectomy |
| title_sort | isolated splenic cold abscesses with perisplenic extension treated successfully without splenectomy |
| url | http://dx.doi.org/10.1155/2017/9864543 |
| work_keys_str_mv | AT mohankhadka isolatedspleniccoldabscesseswithperisplenicextensiontreatedsuccessfullywithoutsplenectomy AT ravipradhan isolatedspleniccoldabscesseswithperisplenicextensiontreatedsuccessfullywithoutsplenectomy |