Mandal Sanjay Kumar, Ganguly Jacky, Sil Koelina, Chatterjee Sumanta
Department of Internal Medicine, Medical College, Kolkata, West Bengal, India.
BMJ Case Rep. 2014 Mar 5;2014:bcr2013203271. doi: 10.1136/bcr-2013-203271.
A 20-year-old woman presented with fever and was eventually diagnosed with splenic tuberculosis as the sole site of the disease. Laboratory data gave no specific information for diagnosis except for a raised erythrocyte sedimentation rate and mild anaemia. Abdominal ultrasonography revealed splenomegaly with multiple hypoechoic lesions within it. A diagnosis of isolated splenic tuberculosis was confirmed after CT-guided aspiration from splenic lesions showed the presence of acid-fast bacilli.
一名20岁女性因发热就诊，最终被诊断为脾脏结核，这是该病唯一的发病部位。实验室检查除血沉升高和轻度贫血外，未提供诊断的特异性信息。腹部超声检查显示脾脏肿大，内部有多个低回声病灶。经CT引导下对脾脏病灶进行穿刺抽吸，发现抗酸杆菌，从而确诊为孤立性脾脏结核。
