Solitary splenic tuberculosis:A case report  

作　　者：Hong-Wei Guo Xiu-Qing Liu Yan-Li Cheng 

机构地区：[1]Gastroenterology Department,The First Affiliated Hospital of Tsinghua University,Beijing 100016,China

出　　处：《World Journal of Clinical Cases》2022年第28期10260-10265,共6页世界临床病例杂志

摘　　要：BACKGROUND Solitary splenic tuberculosis(TB) is unusual and rarely reported.Whether splenic TB is best treated surgically is still controversial.We describe a 73-year-old man with solitary splenic TB and no extrapulmonary TB.CASE SUMMARY We report the case of a 73-year-old man with solitary splenic TB who complained of emaciation and fatigue.Abdominal computed tomography(CT) images suggested a splenic space-occupying lesion.We then performed a CT-guided splenic biopsy.The postoperative pathological examination revealed splenic TB.The patient took quadruple anti-TB medication.After 1 year,the patient recovered his normal weight and had no feeling of fatigue,and the splenic lesion had shrunk significantly.CONCLUSION If patients receive combined,appropriate,regular,full-time anti-TB treatment,solitary splenic TB may be cured.

关 键 词：Infectious diseases Solitary splenic tuberculosis Computed tomography Computed tomography-guided spleen biopsy Anti-tuberculosis medicine Pathological diagnosis Case report 

分 类 号：R525[医药卫生—内科学]