Solitary splenic tuberculosis: A case report

doi:10.12998/wjcc.v10.i28.10260

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World Journal of Clinical Cases

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Case Report

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).

Corresponding author: Yan-Li Cheng, MD, Chief Physician, Reader (Associate Professor), Gastroenterology Department, The First Affiliated Hospital of Tsinghua University, No. 6 Jiuxianqiao 1^st 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.

Keywords: Infectious diseases; Solitary splenic tuberculosis; Computed tomography; Computed tomography-guided spleen biopsy; Anti-tuberculosis medicine; Pathological diagnosis; Case report

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.