Hong Kong Med J 2009;15:291-3 | Number 4, August 2009
Splenic tuberculosis associated with monoclonal gammopathy of undetermined significance and pericarditis
WI Cheung, Vincent KS Leung, Ivy SC Luk, Tony KL Loke, James CS Chan, TN Chau
Department of Medicine and Geriatrics, United Christian Hospital, Kwun Tong, Hong Kong
Tuberculosis usually affects the respiratory system, but it may present atypically involving multiple systems, extrapulmonary systems, and manifest as a protein disorder. Here we report a case of splenic tuberculosis associated with monoclonal gammopathy of undetermined significance, and pericarditis. The diagnosis, confirmed by a plugged biopsy of the spleen, precluded the need for splenectomy in this patient and allowed prompt initiation of treatment, thereby avoiding the complications of tuberculous pericarditis and splenic infection.
Key words: Multiple myeloma; Pericarditis; Tuberculosis, splenic
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