Isolated Splenic Cold Abscesses in an Immunocompetent Individual

Area of Science:

• Infectious Diseases
• Radiology
• Immunology

Background:

• Splenic abscesses are uncommon, with tuberculosis being a rare cause.
• Tubercular splenic abscesses are typically associated with HIV-positive or immunocompromised patients and disseminated tuberculosis.

Observation:

• A young, immunocompetent male presented with isolated splenic cold abscesses.
• The patient had no underlying conditions predisposing to disseminated infections.

Findings:

• The diagnosis of splenic tuberculosis was confirmed.
• Successful management was achieved with percutaneous drainage and standard anti-tubercular therapy.

Implications:

• This case expands the understanding of splenic tuberculosis presentation in immunocompetent individuals.
• It suggests that isolated splenic tuberculosis can be managed conservatively with drainage and medication, even without immunosuppression.