本文报道1例罕见的原发于脾脏的结核病例,该病例以发热起病,免疫功能正常,无明确肺部病灶,最终根据脾脏切除术后病理学结果及腹腔脓液分枝杆菌培养阳性确诊。分析临床表现及诊断方法,有助于提高临床医生对此类病例的认识与重视。

Here a rare case of primary splenic tuberculosis is reported. The immunocompetent patient was admitted to our department for fever, without definite pulmonary infection. He was ultimately diagnosed based on pathologic evidence after splenectomy and positive culture for mycobacterium. The clinical manifestation of the disease and diagnostic procedure used in this case will help clinicians recognize this disease.