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Spontaneous Splenic Rupture as a Paradoxical Reaction during Treatment for Splenic Tuberculosis
여혜주,이수용,안은영,김은정,노대곤,최경운,이승은,조우현,전두수,김윤성 대한결핵및호흡기학회 2013 Tuberculosis and Respiratory Diseases Vol.75 No.5
This report describes a rare case of a patient with splenic tuberculosis (TB) who developed spontaneous splenic rupture after 10 weeks of antituberculous chemotherapy. The patient responded well to the antituberculous regimen prior to the spontaneous splenic rupture. We considered a paradoxical reaction as a cause of the splenic rupture. The patient underwent splenectomy and continuously received initial antituberculous drugs without change. To the best of our knowledge, this is the first report of spontaneous splenic rupture as a paradoxical reaction to antituberculous chemotherapy in an immunocompetent host with splenic TB.