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Tuberculous splenic abscess in a neonate with thrombocytopenia

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Abstract

We present a case of a premature neonate who presented with anemia and persistent thrombocytopenia. The patient was ultimately diagnosed with disseminated tuberculosis. Initial sonographic evaluation of the abdomen revealed a heterogeneous but predominately hypoechoic spleen; there was subsequent evolution of a splenic abscess. The patient was treated medically with anti-tubercular drugs. Follow-up post-treatment sonograms of the spleen showed diminution of the abscess and the evolution of multiple calcifications compatible with calcified granulomas. This case is an unusual presentation of tuberculosis in an infant with splenic abscess associated with thrombocytopenia and anemia.

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References

  1. Maltezou H, Spyridis D, Kafetzis D (2000) Extra-pulmonary tuberculosis in children. Arch Dis Child 83:342–346

    Article  CAS  PubMed  Google Scholar 

  2. Wu CC, Chow KS, Lu TN, et al (1990) Tuberculous splenic abscess: sonographic detection and follow-up. J Clin Ultrasound 18:205–209

    CAS  PubMed  Google Scholar 

  3. Kohli V, Kumar L, Kataria S (1996) Multiple hepatosplenic tuberculous abscesses in an eight-year-old boy. Pediatr Infect Dis J 15:178–179

    Article  CAS  PubMed  Google Scholar 

  4. Agarwal S, Bhatnagar V, Mitra D, et al (1992) Primary tubercular abscess of the spleen. J Pediatr Surg 27:1580–1581

    PubMed  Google Scholar 

  5. Andronikou S, Welman C, Kader E (2002) The CT features of abdominal tuberculosis in children. Pediatr Radiol 32:75–81

    Article  PubMed  Google Scholar 

  6. Starke J (1995) Resurgence of tuberculosis in children. Pediatr Pulmonol 11:16–17

    CAS  Google Scholar 

  7. Smith S, Jacobs RF, Wilson CB (1997) Immunobiology of childhood tuberculosis: a window on the ontogeny of cellular immunity. J Pediatr 131:16–26

    CAS  PubMed  Google Scholar 

  8. Batra A, Manpreet S, Sarma D, et al (2000) Sonographic appearances in abdominal tuberculosis. J Clin Ultrasound 28:233–245

    Article  CAS  PubMed  Google Scholar 

  9. Bheerapa N, Sastry RA, Srinivasan VR, et al (2001) Isolated splenic tuberculosis. Trop Gastroenterol 22:117–118

    PubMed  Google Scholar 

  10. Asamer H, Schur W, Awender H, et al (1986) Rare abdominal manifestations of tuberculosis: isolated splenic tuberculosis and peritoneal tuberculosis. Schweiz Med Wochenschr 116:400–403

    CAS  PubMed  Google Scholar 

  11. Levin M (1994) Acute hypersplenism and thrombocytopenia: a new presentation of disseminated mycobacterial infection in patients with acquired immunodeficiency syndrome. Acta Haematol 91:28–31

    CAS  PubMed  Google Scholar 

  12. Cantwell MF, Shebab ZM, Costello AM, et al (1994) Brief report: congenital tuberculosis. N Engl J Med 330:1051–1054

    Article  CAS  PubMed  Google Scholar 

  13. Malik A, Saxena NC (2003) Ultrasound in abdominal tuberculosis. Abdom Imaging 28:574–579

    Article  CAS  PubMed  Google Scholar 

  14. Chen A, Shih S (2004) Congenital tuberculosis in two infants. AJR 182:253–256

    PubMed  Google Scholar 

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Correspondence to John Amodio.

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Amodio, J., Biskup, D., Rivera, R. et al. Tuberculous splenic abscess in a neonate with thrombocytopenia. Pediatr Radiol 35, 887–890 (2005). https://doi.org/10.1007/s00247-005-1465-z

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  • DOI: https://doi.org/10.1007/s00247-005-1465-z

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