J Pediatr Infect Dis 2018; 13(04): 316-318
DOI: 10.1055/s-0037-1604104
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Tubercular Abscess of the Spleen in a Child: Conservative Management and Long-Term Follow-Up

Devi Dayal
1   Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Vijai Williams
1   Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Sarvanan Chandrasekaran
1   Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Keerthivasan Seetharaman
1   Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Kushaljit Singh Sodhi
2   Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
› Author Affiliations
Further Information

Publication History

11 April 2017

29 May 2017

Publication Date:
04 July 2017 (online)

Abstract

Isolated involvement of the spleen is a rare manifestation of childhood tuberculosis. The rare occurrence and presence of nonspecific clinical features often pose diagnostic challenges even in countries where tuberculosis is endemic. Splenectomy is often performed for establishing the diagnosis or achieving a cure in combination with antitubercular therapy (ATT). In this report, we describe a boy who presented with nonspecific symptoms and was detected to have a well-defined lesion in the spleen on ultrasonography. The diagnosis of tubercular splenic abscess was made after line probe assay for the detection of Mycobacterium tuberculosis and cytomorphology of the aspirated material. The tubercular abscess showed complete healing after 9 months of four-drug ATT.