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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
› Institutsangaben
Weitere Informationen

Publikationsverlauf

11. April 2017

29. Mai 2017

Publikationsdatum:
04. Juli 2017 (online)

    Lizenzen und Reprints

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.

Keywords

tuberculosis - tubercular splenic abscess - extrapulmonary tuberculosis - children - fine-needle aspiration cytology
 

  • References

  • 1 Lin YS, Huang YC, Lin TY. Abdominal tuberculosis in children: a diagnostic challenge. J Microbiol Immunol Infect 2010; 43 (03) 188-193
    CrossrefPubMedGoogle Scholar
  • 2 Kilborn T, Wieselthaler N, Nondela B, Cox S. Abdominal tuberculosis in children-imaging and intervention. J Pediatr Infect Dis 2017; 12: 89-98
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 3 Agarwala S, Bhatnagar V, Mitra DK, Gupta AK, Berry M. Primary tubercular abscess of the spleen. J Pediatr Surg 1992; 27 (12) 1580-1581
    CrossrefPubMedGoogle Scholar
  • 4 Agarwal N, Dewan P. Isolated tubercular splenic abscess in an immunocompetent child. Trop Gastroenterol 2007; 28 (02) 83-84
    PubMedGoogle Scholar
  • 5 Mandal SK, Ganguly J, Sil K, Chatterjee S. Isolated splenic tuberculosis in an immunocompetent patient. BMJ Case Rep 2014; 2014: bcr2013203271
    CrossrefPubMedGoogle Scholar
  • 6 Ray S, Kundu S, Goswami M, Sarkar D, Saha M. Isolated tubercular splenic abscess: can we defer splenectomy? Our single experience with anti-tuberculous therapy alone. Indian J Med Microbiol 2012; 30 (01) 101-103
    CrossrefPubMedGoogle Scholar
  • 7 Singh M, Kothur K, Dayal D, Kusuma S. Perinatal tuberculosis a case series. J Trop Pediatr 2007; 53 (02) 135-138
    PubMedGoogle Scholar
  • 8 Pilania R, Dayal D, Mahajan S. , et al. Anasarca as the initial manifestation of tuberculous pericarditis in a child. J Pediatr Infect Dis 2017; DOI: 10.1055/s-0037-1603086.
    PubMedGoogle Scholar
  • 9 Lin SF, Zheng L, Zhou L. Solitary splenic tuberculosis: a case report and review of the literature. World J Surg Oncol 2016; 14 (01) 154
    CrossrefPubMedGoogle Scholar
  • 10 Nathavitharana RR, Cudahy PG, Schumacher SG, Steingart KR, Pai M, Denkinger CM. Accuracy of line probe assays for the diagnosis of pulmonary and multidrug-resistant tuberculosis: a systematic review and meta-analysis. Eur Respir J 2017; 49 (01) 1601075
    CrossrefPubMedGoogle Scholar
  • 11 Kundu PR, Mathur SK, Singh S, Duhan A, Aggarwal G, Sen R. Isolated tuberculous splenic abscess in an immunocompetent individual. Asian Pac J Trop Med 2011; 4 (01) 81-82
    CrossrefPubMedGoogle Scholar