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[Splenic tuberculosis. Apropos of 12 cases]
A Adil1, N Chikhaoui, A Ousehal
1Service Central de Radiologie, CHU Ibn Rochd, CASABLANCA, Maroc.
Annales De Radiologie
|January 1, 1995
Summary
Tuberculosis of the spleen, while not rare, predominantly affects young males. CT-guided splenic puncture is the ideal diagnostic method for this condition.
Area of Science:
- Infectious Diseases
- Radiology
- Abdominal Imaging
Background:
- Splenic tuberculosis is an uncommon but significant extrapulmonary manifestation of tuberculosis.
- It often presents in immunocompetent individuals, challenging initial diagnosis.
- Co-existing tuberculosis at other sites is frequently observed.
Purpose of the Study:
- To describe the clinical and imaging characteristics of splenic tuberculosis.
- To evaluate the role of CT-guided splenic puncture in diagnosis.
Main Methods:
- Retrospective analysis of ten cases of splenic tuberculosis.
- Review of clinical data, imaging findings (ultrasound and CT), and diagnostic procedures.
- Detailed examination of CT-guided splenic puncture in one case.
Main Results:
- Predominance in young male adults.
- Absence of HIV infection in all patients.
- Common presentation with focal splenic lesions: scattered hypoechogenic/hypodense nodules, occasionally pseudo-tumor appearance.
- Successful diagnosis via CT-guided splenic puncture in one instance.
Conclusions:
- Splenic tuberculosis is underdiagnosed rather than rare.
- Imaging reveals characteristic splenic nodules.
- CT-guided splenic puncture is a reliable and recommended diagnostic approach.