TITLE:
Splenic Tuberculosis, a Rare Cause of Extrapulmonary Tuberculosis: A Pediatric Case Report
AUTHORS:
Aka Bossoma Guylaine, Kouassi Emma, Sodji Ahou Lorraine Roxane
KEYWORDS:
Tuberculosis, Spleen, Child
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.16 No.4,
July
20,
2026
ABSTRACT: Isolated splenic tuberculosis is a rare cause of extrapulmonary tuberculosis. Its clinical manifestations are nonspecific and can lead to diagnostic errors, even in endemic areas. Case Report: We report the case of a 12-year-old girl who presented with isolated febrile splenomegaly that had been evolving for three months. Her medical history included BCG vaccination, no history of tuberculosis exposure or chronic cough, and no signs of immunosuppression. Abdominal ultrasound revealed two hypoechoic lesions within the splenic parenchyma, with no other abnormalities observed. Ultrasound-guided fine-needle aspiration cytology and histopathological examination confirmed the tuberculous origin. The patient received antituberculosis treatment for six months, with resolution of clinical signs.