• Wiad. Lek. · Jan 2009

    Case Reports

    [Spleen and medullary tuberculosis].

    • Maria Błachnio, Tadeusz M Zielonka, Ewa Rzewuska, Olga Mioduszewska, Renata Maryniak, and Antoni Błachnio.
    • Mazowieckie Centrum Leczenia Chorób Płuc i Gruźlicy w Otwocku. sekretariat.otw.@otwock-szpital.pl
    • Wiad. Lek. 2009 Jan 1;62(3):168-72.

    AbstractSpleen is a rare extra-pulmonary tuberculosis manifestation. The spleen tuberculosis is caused by the blood derivative dissemination of mycobacteria. The symptoms can suggest a hematological disease, but it is difficult to make a diagnosis, especially when there are no pulmonary changes. The case of a 27-year-old woman with unclear etiology bone marrow hypoplasia was presented. The patient experienced: fever, body weight loss, pancytopenia and spleen enlargement with numerous focal echographic changes. The splenectomy revealed in a histopathologic examination productiva caseosa tuberculosis. The bone marrow trepanobiopsy revealed as well tuberculosis changes. The antimycobacteria treatment caused an improvement of the clinical state and the regression of symptoms.

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