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KMID : 0351219950270030307
Korean Journal of Infectious Diseases
1995 Volume.27 No. 3 p.307 ~ p.311
A Case of Splenic Tuberculosis




Abstract
Splenic tuberculosis is an uncommonly considered diagnosis in clinical practice. We report a patient with splenic tuberculosis who was admitted to the hospital because of fever, anorexia and weight loss. Abdominal sonography and computerized
tomography
revealed the presence of multiple hypoechoic and hypodense splenic lesions. A diagnostic needle aspiration under the sonographic guidance was performed. Seven weeks later Mycobacterium tuberculosis was cultured from aspirated fluid. Despite
antituberculous theraPY with lsoniazid, rifampicin, ethambutol and pyrazinamide for one month, the patient became worse. So splenectomy was done. Antituberculous therapy was continued after splenectomy, and the clinical condition of the patient
was
improved.
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