Splenic tuberculosis

• Panel A – CT of the abdomen showing numerous hypodense lesions
• Panel B – Splenectomy specimen showing necrotic nodules with purulent discharge
• Panel C – Histology showing granulomatous inflammation with caseous necrosis
• Panel D – AFB staining (arrowheads show bacilli)

Real-time PCR identified Mycobacterium tuberculosis. The patient recovered with anti-TB therapy.