RESUMO
Splenic abscesses are increasingly being identified, possibly due to widespread use of imaging modalities in clinical practice. The commonest clinical features are high grade fever and exclusively localised left upper quadrant abdominal pain. These symptoms are similar to most infectious diseases prevalent in the tropics, making imaging by ultrasonography or computer tomography a necessity in the diagnosis. There are reports from different geographic areas on splenic abscesses associated with typhoid fever. We reported ruptured splenic abscess presenting with peritonitis as a rare and grave complication of typhoid fever.
Assuntos
Adulto , Humanos , Masculino , Abscesso Abdominal , Diagnóstico por Imagem , Tratamento Farmacológico , Microbiologia , Cirurgia Geral , Antibacterianos , Usos Terapêuticos , Peritonite , Diagnóstico por Imagem , Tratamento Farmacológico , Microbiologia , Cirurgia Geral , Ruptura Esplênica , Diagnóstico por Imagem , Tratamento Farmacológico , Microbiologia , Cirurgia Geral , Tomografia Computadorizada por Raios X , Febre Tifoide , Diagnóstico por Imagem , Tratamento Farmacológico , UltrassonografiaRESUMO
Tuberculous mastitis is a rare clinical entity and usually affects women from the Indian sub-continent and Africa. It often mimics breast carcinoma and pyogenic breast abscess clinically and radiologically, may both co-exist. Routine laboratory investigations are not helpful in its diagnosis. Fine needle aspiration cytology [FNAC] / biopsy are essential for diagnosis and tuberculosis culture when positive may be very useful to guide antimicrobial therapy. Antitubercular drugs in combination with aspiration or surgical drainage are usually associated with an excellent outcome