Unraveling the Clinical Quandary: Cryptic Tuberculosis or Splenogonadal Malignancy?
| Autor: | M R; Radiology, Government Medical College Mahasamund, Kharora, IND., Jacob NE; Internal Medicine, Government Medical College Mahasamund, Kharora, IND., Verma G; Radiodiagnosis, Pt. Jawahar Lal Nehru Memorial Medical College, Raipur, IND. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Oct 21; Vol. 16 (10), pp. e71992. Date of Electronic Publication: 2024 Oct 21 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.71992 |
| Abstrakt: | Tuberculosis continues to persist as a significant health problem in multiple parts of the world despite global efforts to eradicate it. A high variability in the clinical manifestation hinders the early diagnosis. Atypical presentations like "cryptic tuberculosis" lack classic clinical and radiological features of the disease and can mimic metastatic cancer, posing a diagnostic challenge. Herein, we report a case of a 70-year-old male with complaints of chronic abdominal pain, who was presumed to have malignant disease of the spleen and testis after clinical and radiological assessment. However, the histopathology and microscopy revealed features of tuberculosis, and a culture test confirmed the diagnosis. Hence, clinicians should be vigilant of the ambiguity of symptoms, especially in immunosuppressed patients and among residents of endemic areas. This can target aggressive efforts to diagnose and treat such unusual presentations of tuberculosis, avoiding unwanted mortality. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, M et al.) |
| Databáze: | MEDLINE |
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