Abstract:

Systemic disseminated tuberculosis with liver and spleen abscesses as initial symptom is rare. The course of diagnosis and treatment of one case of tuberculosis with liver and spleen abscesses as initial symptom is reported in this paper. Based on the symptoms, signs and findings of pathological and CT examinations after splenectomy, tuberculosis was highly suspected, and diagnostic anti-tuberculosis treatment combined with anti-infection treatment was carried out. The temperature of the patient decreased to the normal range 2 weeks later, which indicated a effective therapy. Then, mycobacterium tuberculosis infection was proven by bacterial culture of puncture fluid and secretions, PCR amplification and nucleotide sequencing. Therefore, in case of highly suspected mycobacterium tuberculosis infection, diagnostic anti-tuberculosis treatment (combined therapy) can be tried out, and imaging examinations may play a role in the auxiliary diagnosis of tuberculosis.

Key words: mycobacterium infection, tuberculosis, cold abscesses, liver, spleen