Splenic tuberculosis

Case contributed by Dr Licinio Brito

Presentation

History of pulmonary tuberculosis, feverish feeling in the afternoon for 2 months, weight loss and malaise.

Patient Data

Age: 40 years
Gender: Male
CT

Spleen enlarged, heterogeneous with multiple hypoattenuating foci sparse by the parenchyma. Lymph nodes increased in number and size at perigastric, pancreatic and periaortic level.

Case Discussion

It is very common to see rare forms of tuberculosis in endemic areas like ours. The form of splenic tuberculosis presentation being primary or secondary (several hypoattenuating foci often associated with increased organ volume), constitutes a diagnostic challenge and may be confused with pathologies and hematological forum.

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