Khadka Mohan, Pradhan Ravi
ADK Hospital, Malé, Maldives.
Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Case Rep Gastrointest Med. 2017;2017:9864543. doi: 10.1155/2017/9864543. Epub 2017 Aug 20.
Splenic tuberculosis (TB) in the form of multiple splenic cold abscesses with perisplenic extensions is a rare disease, especially in an immunocompetent host. It demonstrates diagnostic complexity, which makes identification of the disease difficult. We report a case of an immunocompetent adult male who presented with fever, pain in the left lower chest, decreased appetite, and significant weight loss. On physical examination, he had tenderness in the left lower infra-axillary region and Traube's space dullness without palpable spleen. Ultrasound-guided aspiration of the abscess fluid revealed (MTB) by polymerase chain reaction (PCR). No primary focus of the infection was detected in the lungs or any other organs. The patient was successfully treated with antitubercular therapy (ATT).
以多发性脾冷脓肿伴脾周扩展为表现的脾结核是一种罕见疾病，尤其在免疫功能正常的宿主中。它表现出诊断复杂性，使得该疾病的识别较为困难。我们报告一例免疫功能正常的成年男性病例，其表现为发热、左下胸部疼痛、食欲减退和显著体重减轻。体格检查时，他在左下腋窝下区域有压痛，Traube间隙浊音，未触及脾脏。超声引导下脓肿液抽吸经聚合酶链反应（PCR）检测出结核分枝杆菌（MTB）。在肺部或任何其他器官未检测到感染的原发灶。该患者通过抗结核治疗（ATT）成功治愈。
