Spontaneous Splenic Rupture as a Paradoxical Reaction during Treatment for Splenic Tuberculosis

Tuberculosis and Respiratory Diseases

article

Hye Ju Yeo¹  Soo Yong Lee¹  Eunyoung Ahn¹  Eun Jung Kim¹  Dae Gon Rhu¹  Kyoung Un Choi²  Seung Eun Lee¹  Woo Hyun Cho¹  Doosoo Jeon¹  Yun Seong Kim¹ 

[1] Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine;Department of Pathology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine

关键词: Tuberculosis;    Tuberculosis;    Splenic;    Splenic Rupture;    Disease Progression;   

DOI  :  10.4046/trd.2013.75.5.218

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

This report describes a rare case of a patient with splenic tuberculosis (TB) who developed spontaneous splenic rupture after 10 weeks of antituberculous chemotherapy. The patient responded well to the antituberculous regimen prior to the spontaneous splenic rupture. We considered a paradoxical reaction as a cause of the splenic rupture. The patient underwent splenectomy and continuously received initial antituberculous drugs without change. To the best of our knowledge, this is the first report of spontaneous splenic rupture as a paradoxical reaction to antituberculous chemotherapy in an immunocompetent host with splenic TB.

【 授权许可】

CC BY-NC