Tuberculosis is a multi systemic disease with myriad presentation and manifestations, though pulmonary tuberculosis is the most common presentation, extra pulmonary tuberculosis involving other organs of the body is often seen. Individuals with poor nourishment and low immune status are especially susceptible for disseminated and multicentric tuberculosis. we report a case of multicentric tuberculosis which is a rare presentation in a 56yrs old female presented with abdominal pain and abdominal distension.

Keywords: Multi centric tuberculosis, Abdominal tuberculosis, hepatic and splenic tuberculosis.

1. Mofredj A, Guerin JM, Leibinger F, Masmoudi R (1999) Primary sternal osteomyelitis and septicaemia due to Staphylococcus aureus. Scand J Infect Dis 31:98–100 [PubMed] [Google Scholar]
2. Singh B, Ramdial PK, Royeppen E, Moodley J, Chetty R. Isolated splenic tuberculosis. Trop Doct. 2005;35:48–49. [PubMed] [Google Scholar]
3. Singh S., Nagaraj C., Khare G. N., Kumaraswamy V. Multicentric tuberculosis at two rare sites in an immunocompetent adult. Journal of Orthopaedics and Traumatology. 2011;12(4):223–225. doi: 10.1007/s10195-011-0157-8. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
4. Epidemiology of extrapulmonary tuberculosis. A comparative analysis with pre-AIDS era. Mehta JB, Dutt A, Harvill L, Mathews KM. Chest. 1991;99:1134–1138. [PubMed] [Google Scholar]
5. Common and uncommon imaging features of abdominal tuberculosis. Gupta P, Kumar S, Sharma V, et al. J Med Imaging Radiat Oncol. 2019;63:329–339. [PubMed] [Google Scholar]
6. Abdominal tuberculosis of the gastrointestinal tract: revisited. Debi U, Ravisankar V, Prasad KK, Sinha SK, Sharma AK. World J Gastroenterol. 2014;20:14831–14840. [PMC free article] [PubMed] [Google Scholar]
7. Imaging of abdominal tuberculosis. Akhan O, Pringot J. Eur Radiol. 2002;12:312–323. [PubMed] [Google Scholar]
8. A systematic review of hepatic tuberculosis with considerations in human immunodeficiency virus co-infection. Hickey AJ, Gounder L, Moosa MY, Drain PK. BMC Infect Dis. 2015;15:209. [PMC free article] [PubMed] [Google Scholar]
9. Isolated splenic tuberculosis presenting as an unusual splenic mass. Gupta P, Dhaka N, Rohilla M. Int J Mycobacteriol. 2018;7:397–398. [PubMed] [Google Scholar]
10. Tuli S. M. Tuberculosis of the Skeletal System: Bones, Joints, Spine and Bursal Sheaths. New Delhi, India: Jaypee; 1993. [Google Scholar]
11. U Debi, V Ravisankar, KK Prasad, SK Sinha, AK Sharma World J Gastroenterol, 20 (40) (2014), p. 14831 View article Cross Ref View in Scopus Google Scholar
12. Sharma SK. Mohan. A extrapulmonary tuberculosis. Indian j med Res2004; 120:316-53.

Dr Sumayya Afreen

First Year Post Graduate, Dept of Pulmonnology Dr.VRK Women’s Medical College Teaching and Research Institute