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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2009  |  Volume : 20  |  Issue : 5  |  Page : 822-825
Spontaneous rupture of tuberculous spleen in a HIV seropositive patient on maintenance hemodialysis


1 Department of Radiology, Christian Medical College and Hospital, Ludhiana, Punjab, India
2 Department of Internal Medicine, Christian Medical College and Hospital, Ludhiana, Punjab, India
3 Department of Nephrology, Christian Medical College and Hospital, Ludhiana, Punjab, India
4 Department of Pathology, Christian Medical College and Hospital, Ludhiana, Punjab, India
5 Department of Surgery, Christian Medical College and Hospital, Ludhiana, Punjab, India

Correspondence Address:
Pratish George
Department of Internal Medicine, Christian Medical College and Hospital, Brown Road, Ludhiana 141008, Punjab
India
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PMID: 19736481

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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.


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