SPLEENIC ABSCESS AS A COMPLICATION OF EXTRAPULMONAY TUBERCULOSIS

Authors

  • Junaid Zia Hashmi Nishtar Medical University and Hospital Multan
  • Arifa Zia Hashmi Bakhtawar Amin Medical College and Hospital
  • Shaheer Anwar Sheikh Khalifa Bin Zayed Al-nayhan Medical College and Hospital
  • Ammarah Ghafoor Nishtar Medical University and Hospital Multan
  • Zeeshan Haider Nishtar Medical University and Hospital Multan
  • Faisal Zaheer Nishtar Medical University and Hospital Multan

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

Author Biographies

Junaid Zia Hashmi, Nishtar Medical University and Hospital Multan

Post Graduate Resident

Arifa Zia Hashmi, Bakhtawar Amin Medical College and Hospital

Demonstrator

Shaheer Anwar, Sheikh Khalifa Bin Zayed Al-nayhan Medical College and Hospital

Post Graduate Resident

Ammarah Ghafoor, Nishtar Medical University and Hospital Multan

Post Graduate Resident

Zeeshan Haider, Nishtar Medical University and Hospital Multan

Post Graduate Resident

Faisal Zaheer, Nishtar Medical University and Hospital Multan

Post Graduate Resident

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Published

2019-07-10