Abstract
Spontaneous rupture of the spleen usually occurs secondary to infection, hematological disorders or infiltrative lesions of the spleen. In patients with positive human immunodeficiency virus (HIV) antibodies and the acquired immunodeficiency syndrome (AIDS) who present with acute abdomen, splenic rupture should be considered as a possible cause and should additionally be investigated for co-infection with tuberculosis. Spontaneous rupture of spleen in asymptomatic patients requires a high index of suspicion for diagnosis. We herein report on a HIV-positive patient on maintenance hemodialysis, who presented with spontaneous rupture of a tuberculous spleen.
MeSH terms
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AIDS-Related Opportunistic Infections / complications*
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AIDS-Related Opportunistic Infections / diagnosis
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AIDS-Related Opportunistic Infections / therapy
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Antiretroviral Therapy, Highly Active
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Antitubercular Agents / therapeutic use
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Blood Transfusion
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Fluid Therapy
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HIV Seropositivity / complications*
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HIV Seropositivity / drug therapy
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Humans
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Kidney Failure, Chronic / complications
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Kidney Failure, Chronic / therapy*
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Male
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Renal Dialysis*
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Splenectomy
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Splenic Rupture / diagnosis
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Splenic Rupture / etiology*
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Splenic Rupture / therapy
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Tomography, X-Ray Computed
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Treatment Outcome
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Tuberculosis, Splenic / complications*
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Tuberculosis, Splenic / diagnosis
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Tuberculosis, Splenic / therapy
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Young Adult