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  • Title: Tuberculous splenic abscess in the immunocompetent host: a report and review of literature.
    Author: Sahoo S, Naik S, Mishra B, Durgeshwar G, Panigrahi MK, Bhuniya S.
    Journal: Monaldi Arch Chest Dis; 2020 Feb 18; 90(1):. PubMed ID: 32072799.
    Abstract:
    Tubercular splenic abscess is rare, particularly in immunocompetent patients. Diagnostic difficulties usually arise in patients with tubercular splenic abscess because of its non-specific presentation. We report an elderly male who presented with cough and fever and had pulmonary infiltrates suspicious of tuberculosis. Bronchoalveolar lavage microbiology including XpertMTB/Rif assay was non-contributory. Contrast enhanced computed tomography scan of abdomen revealed multiple non-enhancing lesions in the spleen. Ultrasound guided splenic aspirate revealed pus that was positive for Mycobacterium tuberculosis in XpertMTB/Rif assay confirming the diagnosis of tuberculosis.
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