Multiple Tuberculous Splenic Abscesses in a Child

소아에서 발생한 비장의 다발성 결핵성 미세농양 1예

  • Park, Chan-Yong (Department of Surgery, Chonnam National University Medical School) ;
  • Choi, Soo-Jin-Na (Department of Surgery, Chonnam National University Medical School) ;
  • Chung, Sang-Young (Department of Surgery, Chonnam National University Medical School) ;
  • Kim, Shin-Kon (Department of Surgery, Chonnam National University Medical School)
  • 박찬용 (전남대학교 의과대학 외과학교실) ;
  • 최수진나 (전남대학교 의과대학 외과학교실) ;
  • 정상영 (전남대학교 의과대학 외과학교실) ;
  • 김신곤 (전남대학교 의과대학 외과학교실)
  • Received : 2005.11.21
  • Accepted : 2006.05.16
  • Published : 2006.12.31

Abstract

Splenic abscess is a rare clinical condition with a reported incidence of 0.14 % to 0.70 % in various autopsy series. Primary tuberculosis of the spleen as a cause of splenic abscess is even rarer, especially in the antitubercular era. Infants and children have a higher predisposition to extra-pulmonary tuberculosis than adults and tend to develop severe extra-pulmonary disease such as miliary tuberculosis and meningitis. The diagnosis of tuberculosis in infants and children can be difficult because of nonspecific symptoms and clinical findings. Computed tomography establishes the diagnosis of splenic abscess and demonstrates the number and location of abscesses. Splenectomy is the standard of care in most clinical setting. We present a 4-year-old girl who had multiple tuberculosis splenic abscesses and was treated successfully with splenectomy.

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