📱 eBook en inglés ARCHIVES OF CLINICAL MICROBIOLOGY: ISOLATED SPLENIC TUBERCULOSIS IN A HIV-POSITIVE PATIENT: A CASE REPORT

A 24-year-old man, injection drug user (IDU) and HIV-positive was admitted to the Infectious Department of Imam Khomeini Hospital in February 2010, with a history of two months of malaise, night sweating and weight loss. He complained of fever and chills. On examination, pale conjunctivae and a palpable spleen were the only remarkable clinical fndings. PPD skin test was not reactive and chest X-ray was also normal. Abdominal CT scan revealed multiple hypodense regions suggestive for splenic abscesses. Diagnostic laparatomy and splenectomy were performed. Defnite tuberculosis infection became evident after that Ziehl- Neelsen staining of the infammated tissue was performed and suspected acid-fast bacilli of Mycobacterium tuberculosis were detected under microscopy. Consecutively, the tuberculostatic treatment including isoniazid (300 mg daily), rifampicin (600 mgr daily), ethambutol (800 mgr daily) and pyrazinamide (1000 mgr daily) were initiated; He eventually began to improve and the fever resolved within 10 days.