SPLEENIC ABSCESS AS A COMPLICATION OF EXTRAPULMONAY TUBERCULOSIS

Junaid Zia Hashmi, Arifa Zia Hashmi, Shaheer Anwar, Ammarah Ghafoor, Zeeshan Haider, Faisal Zaheer

Abstract


Tuberculosis continues to be a fatal infectious disease in developing countries. Despite the advances in medical sciences and introduction of potent therapeutic regimes tuberculosis has still managed to survive and prevail worldwide. It can affect many organs of body. Isolated splenic tuberculosis is uncommon in immunocompetent host and only some cases are reported internationally. Extrapulmonary tuberculosis with splenic involvement is also rare and only comes after lungs and liver. We present a case of patient presented with complaints of prolonged fever, cough and insidious onset of abdominal pain and sepsis. Exploratory laparotomy revealed spleenic abscess as incidental finding associated with tuberculous perforation of colon. She underwent double barrel colostomy and spleenectomy followed by intensive care unit admission. Measures such as awareness about the disease, early medical assistance and good compliance regarding treatment can produce positive results in combating tuberculosis and its complications.       

Keywords: Extrapulmonary tuberculosis; Exploratory laprotomy; Spleenectomy


Full Text:

PDF

References


Pramesh CS, Tamhankar AP, Rege SA, Shah SR. Splenic tuberculosis and HIV-1 infection. Lancet 2002;369(9303):353.

Deshpande SS, Joshi AR, Deshpande SS, Phajlani SA. Computed tomographic features of abdominal tuberculosis: unmask the impersonator. Abdom Radiol 2019;44(1):11–21.

WHO. Tuberculosis country profiles. [Internet]. [cited 2018 Aug 1]. Available from: http://www.who.int/tb/country/data/profiles/en/

Paris S, Weiss SM, Ayers WH Jr, Clarke LE. Splenic abscess. Am Surg 1994;60(5):358–61.

Anuradha S, Singh NP, Agarwal SK. Splenic abscess: A diversity within. Indian Acad Clin Med 2000;1(3):279–81.

Adil A, Chikhaoui N, Ousehal A, Kadiri R. [Splenic tuberculosis. Apropos of 12 cases]. Ann Radiol (Paris) 1995;38(7-8):403–7.

Dixit R, Arya MK, Panjabi M, Gupta A, Paramez AR. Clinical profile of patients having splenic involvement in tuberculosis. Indian J Tuberc 2010;57(1):25–30.

Dhibar DP, Chhabria BA, Gupta N, Varma SC. Isolated Splenic Cold Abscesses in an Immunocompetent Individual. Oman Med J 2018;33(4):352–5.

Thanos L, Dailiana T, Papaioannou G, Nikita A, Koutrouvelis H, Kelekis DA. Percutaneous CT-guided drainage of splenic abscess. AJR Am J Roentgenol 2002;179(3):629–32.


Refbacks

  • There are currently no refbacks.


Contact Number: +92-992-382571

email: [jamc] [@] [ayubmed.edu.pk]