비장결핵 1례

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 offever, 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 isoniazid, 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.