Splenik T�berk�lozun E�lik Etti�i T�berk�loz Lenfadenit ve T�berk�loz Pl�rezi: Bir Olgu Sunumu

Kayasuyu, Gamze; Anar, Ceyda; Uygur, S�heyla; Do�an, Bet�l; Turan, Muzaffer Onur; Sertogullarindan, Bunyamin; Cakir, Ebru

Cilt : 13 Say� : 3 Y�l : 2024

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Splenik T�berk�lozun E�lik Etti�i T�berk�loz Lenfadenit ve T�berk�loz Pl�rezi: Bir Olgu Sunumu [Respir Case Rep]

Respir Case Rep. 2022; 11(2): 77-82 | DOI: 10.5505/respircase.2022.55822

Splenik T�berk�lozun E�lik Etti�i T�berk�loz Lenfadenit ve T�berk�loz Pl�rezi: Bir Olgu Sunumu

Gamze Kayasuyu¹, Ceyda Anar¹, S�heyla Uygur¹, Bet�l Do�an¹, Muzaffer Onur Turan¹, Bunyamin Sertogullarindan¹, Ebru Cakir²
¹�zmir Katip �elebi �niversitesi Atat�rk E�itim ve Ara�t�rma Hastanesi, G��s Hastal�klar� B�l�m�, �zmir
²�zmir Katip �elebi �niversitesi Atat�rk E�itim ve Ara�t�rma Hastanesi, Patoloji B�l�m�, �zmir

Dalak t�berk�lozu, literat�rde zaman zaman, �o�un-lukla �e�itli risk fakt�rleri olan ba��kl�� bask�lanm�� bireylerde tan�mlanm��t�r. Dalak tutulumu ve spleno-megalinin olmas�, bu t�r Mycobacterium tuberculosis enfeksiyonunun te�his edilmesini zorla�t�r�r. Spleno-megali ile birlikte mediastinal ve abdominal lenfade-nopatileri olan ve lenfoma �n tan�s� ile ara�t�r�lan, �nemli bir t�bbi �yk�s� olmayan 56 ya��nda kad�n hasta ate�, halsizlik yak�nmas� ile ba�vurdu. Al�nan plevral ve dalak biyopsisinde gran�lomat�z inflamas-yonun ortaya ��kt�. Burada, dalak t�berk�lozunun e�lik etti�i t�berk�loz lenfadenit ve pl�rit olgusunu sunuyoruz T�berk�loz, nedeni bilinmeyen ate� ve lenfadenopatilerin e�lik etti�i hastal�klarda ay�r�c� tan� olarak hala ak�lda tutulmal�d�r.

Anahtar Kelimeler: T�berk�loz, lenfadenit, dalak, plevral eff�zyon.

A Case Report of Tuberculous Lymphadenitis and Tuberculous Pleural Effusion Accompanied by Splenic Tuberculosis

Gamze Kayasuyu¹, Ceyda Anar¹, S�heyla Uygur¹, Bet�l Do�an¹, Muzaffer Onur Turan¹, Bunyamin Sertogullarindan¹, Ebru Cakir²
¹Department of Pulmonology, İzmir Katip �elebi �niversity Atat�rk Training and Research Hospital, �zmir, T�rkiye
²Department of Patology, İzmir Katip �elebi �niversity Atat�rk Training and Research Hospital, �zmir, T�rkiye

Spleen tuberculosis has occasionally been described in literature, mostly in immunocompromised patients with various risk factors. The presence of spleen in-volvement and splenomegaly makes this type of My-cobacterium tuberculosis infection difficult to diag-nose. A 56-year-old woman who had mediastinal and abdominal lymphadenopathies with splenomeg-aly and was investigated with a pre-diagnosis of lymphoma, and with no significant medical history, presented with complaints of fever and malaise. Here, we present a case of tuberculous lymphadenitis and pleuritis accompanied by splenic tuberculosis with the appearance of granulomatous inflammation on pleu-ral and spleen biopsy. Tuberculosis should be kept in mind as a differential diagnosis in diseases accom-panied by a fever of unknown origin and lymphade-nopathy.

Keywords: Tuberculosis, lymphadenit, spleen, pleural effusion.

Olgunun G�r�nt� Kesitleri

Sorumlu Yazar: Ceyda Anar, T�rkiye
Makale Dili: �ngilizce

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