Isolated XXXX without Any Radiological Focal Lesion.

@entity1 @entity23047 @entity381 @entity236 @entity378 @entity3043
Incidence of @entity378 ( @entity378 ) of spleen is a rare entity and isolated @entity23047 is an unusual phenomenon, especially in immunocompetent individuals. We came across a case of 63-year-old male who presented with high grade fever, loss of weight, and generalized weakness of one-month duration. When physically examined, he had pallor and moderate nontender @entity381 without any other significant clinical findings. He had @entity3043 , elevated ESR, and positive Mantoux test. Ultrasonography and CT scan of abdomen showed @entity381 without any other relevant findings. Markers of connective tissue disorders and @entity236 and biopsy all were noncontributory for diagnosis. Hence splenic biopsy was done and sent for histopathological examination. Presence of caseation surrounded by epitheloid granulomas and Langerhans cells was suggestive of diagnosis as @entity378 . And gene probe for the AFB (acid fast bacilli) came to be positive. No primary focus was present in either lungs or other organs. @entity1 improved clinically with antitubercular treatment.
