Guo HW, Liu XQ, Cheng YL. Solitary splenic tuberculosis: A case report. World J Clin Cases 2022; 10(28): 10260-10265 [PMID: 36246822 DOI: 10.12998/wjcc.v10.i28.10260]
Corresponding Author of This Article
Yan-Li Cheng, MD, Chief Physician, Reader (Associate Professor), Gastroenterology Department, The First Affiliated Hospital of Tsinghua University, No. 6 Jiuxianqiao 1st Street, Chaoyang District, Beijing 100016, China. chengyanli001@126.com
Research Domain of This Article
Infectious Diseases
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2022; 10(28): 10260-10265 Published online Oct 6, 2022. doi: 10.12998/wjcc.v10.i28.10260
Solitary splenic tuberculosis: A case report
Hong-Wei Guo, Xiu-Qing Liu, Yan-Li Cheng
Hong-Wei Guo, Xiu-Qing Liu, Yan-Li Cheng, Gastroenterology Department, The First Affiliated Hospital of Tsinghua University, Beijing 100016, China
Author contributions: Guo HW contributed to manuscript writing and editing, and data collection; Liu XQ contributed to data analysis; Cheng YL contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Li Cheng, MD, Chief Physician, Reader (Associate Professor), Gastroenterology Department, The First Affiliated Hospital of Tsinghua University, No. 6 Jiuxianqiao 1st Street, Chaoyang District, Beijing 100016, China. chengyanli001@126.com
Received: April 30, 2022 Peer-review started: April 30, 2022 First decision: June 19, 2022 Revised: July 2, 2022 Accepted: August 24, 2022 Article in press: August 24, 2022 Published online: October 6, 2022 Processing time: 150 Days and 7.4 Hours
Abstract
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.
Core Tip: Solitary splenic tuberculosis (TB) is unusual and rarely reported in the literature internationally. Whether splenic TB is best treated surgically is still controversial. We report a rare case of solitary splenic TB. The patient took quadruple anti-TB medication. This case provides a basis for diagnosis and treatment of splenic TB.
