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Spleenic Abscess As A Complication Of Extrapulmonay Tuberculosis
Junaid Zia Hashmi1, Arifa Zia Hashmi2, Shaheer Anwar3
1Nishtar Medical University and Hospital Multan, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|September 20, 2019
Summary
Tuberculosis (TB) can affect multiple organs, with splenic involvement being rare. This case highlights splenic abscess and colon perforation due to TB in an immunocompetent patient.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Surgical Pathology
Background:
- Tuberculosis (TB) remains a significant global health challenge, particularly in developing nations.
- While TB commonly affects the lungs, extrapulmonary TB can involve various organs, including the spleen, though rarely.
- Isolated splenic TB is exceptionally uncommon in immunocompetent individuals.
Observation:
- A patient presented with prolonged fever, cough, abdominal pain, and sepsis.
- Exploratory laparotomy revealed an incidental splenic abscess and tuberculous perforation of the colon.
- The patient underwent colostomy and splenectomy, followed by intensive care.
Findings:
- The case underscores the possibility of splenic involvement in extrapulmonary tuberculosis.
- Tuberculous perforation of the colon associated with splenic abscess was diagnosed.
- Surgical intervention was necessary for managing the acute complications.
Implications:
- Early diagnosis and comprehensive treatment are crucial for managing complex TB presentations.
- Increased awareness of rare extrapulmonary TB manifestations is vital for clinicians.
- Prompt medical attention and treatment adherence can improve outcomes for TB patients.
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