Title |
Splenic tuberculosis presenting as fever of unknown origin with severe neutropenia
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Published in |
Annals of Clinical Microbiology and Antimicrobials, June 2013
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DOI | 10.1186/1476-0711-12-13 |
Pubmed ID | |
Authors |
Nahla A Azzam |
Abstract |
Fever of undetermined origin always poses a challenging problem to the physician. Tuberculosis is an important health problem in developing countries. It is mostly seen in immune-compromised patients. And it is one of the common causes of fever of unknown origin. I am reporting a case of a splenic tuberculosis in 48 years old male who is not known of any immune deficiency state, he was presented with 3 weeks history of fever and found to have severe neutropenia and with negative work up for all hematological, rheumatological and malignant causes. A computerized tomography scan of the abdomen confirmed splenic enlargement with multiples hypo dense lesions consist with either splenic infection or splenic lymphoma so exploratory splenectomy was performed. Histological examination revealed granulomatouse inflammation with numerous acid fast bacilli consist with tuberculosis. He was started on four anti-tuberculouse drugs. in less than one week his fever subside with normalization of his neutrophilic count. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 4 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
India | 1 | 6% |
Unknown | 15 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 3 | 19% |
Student > Ph. D. Student | 3 | 19% |
Student > Master | 2 | 13% |
Researcher | 2 | 13% |
Lecturer > Senior Lecturer | 1 | 6% |
Other | 3 | 19% |
Unknown | 2 | 13% |
Readers by discipline | Count | As % |
---|---|---|
Agricultural and Biological Sciences | 4 | 25% |
Medicine and Dentistry | 4 | 25% |
Biochemistry, Genetics and Molecular Biology | 2 | 13% |
Immunology and Microbiology | 2 | 13% |
Sports and Recreations | 1 | 6% |
Other | 1 | 6% |
Unknown | 2 | 13% |