Spontaneous splenic rupture, an unusual presentation of tuberculosis

Introduction: Spontaneous splenic rupture from tuberculosis (TB) is a very unusual presentation within the wide range of presentations of this infectious disease. Clinical case: A 40-year-old male with a diagnosis of human immunodeficiency virus, begins with fever and pain in the left hypochondrium....

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Autores principales: Edson R. Marcos-Ramírez, Luis A. Treviño-García, Alejandra Téllez-Aguilera, Max Molina-Ayala, Juan P. Flores-Gutiérrez, Rogelio Salinas-Domínguez, Gerardo E. Muñoz-Maldonado
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Publicado: Permanyer 2021
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Acceso en línea:https://doaj.org/article/41e52cca82144de19463698052d28d2c
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Sumario:Introduction: Spontaneous splenic rupture from tuberculosis (TB) is a very unusual presentation within the wide range of presentations of this infectious disease. Clinical case: A 40-year-old male with a diagnosis of human immunodeficiency virus, begins with fever and pain in the left hypochondrium. A computed tomography scan was performed, showing probable splenic abscesses; suddenly, it begins with hemodynamic deterioration, exacerbation of pain, a surgical exploration was performed, showing spontaneous splenic rupture. Microscopic study of the spleen shows the presence of Mycobacterium tuberculosis. Conclusions: This is yet another presentation of TB, which can become a surgical emergency.