TUBERCULOSIS OF THE LIVER AND SPLEEN

Talanova Olga Stanislavovna, Postgraduate student, Ulyanovsk State University, talanova.os@mail.ru
Kuzmina Olga Anatolyevna, Postgraduate student, Ulyanovsk State University, kuzmina.ul@yandex.ru
Kholeva Anna Olegovna, Resident, outpatients’ Municipal clinic № 4 (Ulyanovsk); postgraduate student, Ulyanovsk State University, annagurianna@mail.ru
Savonenkova Lyudmila Nikolaevna, Doctor of medical sciences, professor, sub-department of faculty therapy, Ulyanovsk State University, AOL56@yandex.ru
Aryamkina Olga Leonidovna, Doctor of medical sciences, professor, sub-department of faculty therapy, Ulyanovsk State University, AOL56@yandex.ru

616.36-002.5

In cases of abdominal tuberculosis liver and spleen are affected in 32,3 % of patients. Liver tuberculosis and splenic tuberculosis are accompanied in 69 % of cases by pulmonary tuberculosis, mostly by its miliary form, and in 58,1 % of cases – by extrapulmonary tuberculosis, which testifies to lymphohematogenic dissemination of infection. Tubercular hepatitis and splenitis most frequently occur in military forms against the background of tubercular intoxication - febrile fever, increased erythrocyte sedimentation rates, lymphopenia, mild anemia. Pathognomonic for tubercular hepatitis are as following: hepatomegaly, moderate degree of cytolysis, mild hepatocellular jaundice, enlarged liver and splenic capsules, diaphragmatic adhe-sions, military eruptions, epithelioid cell granulomas with caseation necrosis.

liver tuberculosis, splenic tuberculosis, clinical picture, diagnostics.