TUBERCULOSIS OF SPLEEN IN AN IMMUNOCOMPETENT HOST - A RARE CASE REPORT

Dr.Anand.K.R; Dr.Elen Ann Abraham; Dr.Raja Amarnath.G

Volume : VIII, Issue : XI, November - 2019

TUBERCULOSIS OF SPLEEN IN AN IMMUNOCOMPETENT HOST - A RARE CASE REPORT

Dr. Anand. K. R, Dr. Elen Ann Abraham, Dr. Raja Amarnath. G

Abstract :

Extrapulmonary tuberculosis (EPTB) constitutes 15–20% of all cases, of which 3% are abdominal tuberculosis (TB). Ileum, jejunum, colon & peritoneum are the commonly affected abdominal sites, whereas splenic involvement is rare. Here, we report a 42year old male with no comorbidities, who presented with fever, left hypochondriac pain and constitutional symptoms. Abdominal examination revealed splenomegaly and other system examinations were unremarkable. Contrast–enhanced computed tomography (CECT) abdomen revealed a single large low attenuation area in the spleen. Fine needle aspiration cytology (FNAC) of the lesion showed caseating granulomas suggestive of tuberculous lesion. He was treated with antitubercular medications for 6 months and there was complete resolution of the lesion. Isolated splenic tuberculosis in an immunocompetent individual is a rare occurrence. A high index of suspicion is needed to diagnose splenic TB in an individual who presents with chronic fever, abdominal pain, and constitutional symptoms.