孤立性脾结核

Isolated splenic tuberculosis.

作者信息

Bheerappa N, Sastry R A, Srinivasan V R, Sundaram C

机构信息

Department of Surgical Gastroenterology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad-500 082, India.

出版信息

Trop Gastroenterol. 2001 Apr-Jun;22(2):117-8.

PMID:11552484

Abstract

The authors report two cases of isolated splenic tuberculosis treated since 1989 in Nizam's Institute of Medical Sciences. One case presented as pyrexia of unknown origin (PUO) and another with idiopathic thrombocytopenic purpura (ITP). Both were found to have splenic tuberculosis after splenectomy. Pre operative diagnosis could not be made in these cases. Splenectomy followed by antituberculous chemotherapy cured the condition in both the cases. The authors underline the diagnostic difficulties, essentially related to the rarity of this condition inspite of the progress in modern imaging.

摘要

作者报告了自1989年以来在尼扎姆医学科学研究所治疗的两例孤立性脾结核病例。一例表现为不明原因发热（PUO），另一例表现为特发性血小板减少性紫癜（ITP）。两例均在脾切除术后被发现患有脾结核。这些病例术前未能做出诊断。脾切除术后进行抗结核化疗使两例病情均得到治愈。作者强调了诊断上的困难，尽管现代影像学有了进展，但这种疾病本质上仍很罕见。