Bora P, Gomber S, Agarwal V, Jain M
Department of Pediatrics, University College of Medical Sciences & GTB Hospital, Delhi, India.
Ann Trop Paediatr. 2001 Mar;21(1):86-7. doi: 10.1080/02724930020028984.
A 9-year-old girl with a 5-6-month history of abdominal distension and fever was found to have massive splenomegaly with features of hypersplenism. Apart from a strongly positive Mantoux test, all investigations for massive splenomegaly proved negative. Splenectomy was carried out and histopathological examination of the spleen revealed granulomatous lesions suggestive of tuberculosis. The child improved after splenectomy and anti-tuberculous therapy and is doing well on follow-up. Splenic tuberculosis should be considered as an unusual cause of massive splenomegaly and hypersplenism.
一名9岁女童，有5 - 6个月腹胀和发热病史，发现有巨大脾肿大并伴有脾功能亢进特征。除结核菌素试验呈强阳性外，所有针对巨大脾肿大的检查结果均为阴性。进行了脾切除术，脾脏的组织病理学检查显示肉芽肿性病变，提示为结核病。该患儿在脾切除术后及抗结核治疗后病情好转，随访情况良好。脾结核应被视为巨大脾肿大和脾功能亢进的一种罕见病因。
