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