BACKGROUND Solitary splenic tuberculosis(TB) is unusual and rarely reported.Whether splenic TB is best treated surgically is still controversial.We describe a 73-year-old man with solitary splenic TB and no extrapulmo...BACKGROUND Solitary splenic tuberculosis(TB) is unusual and rarely reported.Whether splenic TB is best treated surgically is still controversial.We describe a 73-year-old man with solitary splenic TB and no extrapulmonary TB.CASE SUMMARY We report the case of a 73-year-old man with solitary splenic TB who complained of emaciation and fatigue.Abdominal computed tomography(CT) images suggested a splenic space-occupying lesion.We then performed a CT-guided splenic biopsy.The postoperative pathological examination revealed splenic TB.The patient took quadruple anti-TB medication.After 1 year,the patient recovered his normal weight and had no feeling of fatigue,and the splenic lesion had shrunk significantly.CONCLUSION If patients receive combined,appropriate,regular,full-time anti-TB treatment,solitary splenic TB may be cured.展开更多
Tuberculosis is a significant health problemin developing countries.Splenic tuberculosis usually occurs as a part of miliary tuberculosis,and ranks third after lung and liver involvement,respectively.Splenic involveme...Tuberculosis is a significant health problemin developing countries.Splenic tuberculosis usually occurs as a part of miliary tuberculosis,and ranks third after lung and liver involvement,respectively.Splenic involvement is more common in immunocompromised patients and is very rarely found in immunocompetent patients.Here we report a case of splenic tuberculosis in an immunocompetent patient,which was managed successfully with conservative treatment.展开更多
文摘BACKGROUND Solitary splenic tuberculosis(TB) is unusual and rarely reported.Whether splenic TB is best treated surgically is still controversial.We describe a 73-year-old man with solitary splenic TB and no extrapulmonary TB.CASE SUMMARY We report the case of a 73-year-old man with solitary splenic TB who complained of emaciation and fatigue.Abdominal computed tomography(CT) images suggested a splenic space-occupying lesion.We then performed a CT-guided splenic biopsy.The postoperative pathological examination revealed splenic TB.The patient took quadruple anti-TB medication.After 1 year,the patient recovered his normal weight and had no feeling of fatigue,and the splenic lesion had shrunk significantly.CONCLUSION If patients receive combined,appropriate,regular,full-time anti-TB treatment,solitary splenic TB may be cured.
文摘Tuberculosis is a significant health problemin developing countries.Splenic tuberculosis usually occurs as a part of miliary tuberculosis,and ranks third after lung and liver involvement,respectively.Splenic involvement is more common in immunocompromised patients and is very rarely found in immunocompetent patients.Here we report a case of splenic tuberculosis in an immunocompetent patient,which was managed successfully with conservative treatment.
