PT  - JOURNAL ARTICLE
AU  - Nupoor Acharya
AU  - Arghya Chattopadhyay
AU  - Kusum Sharma
AU  - Aman Sharma
TI  - Splenic granulomas: a rare manifestation of <em>Mycobacterium avium</em> complex in an immunocompetent host
AID  - 10.1136/bcr-2018-225788
DP  - 2018 Nov 08
TA  - BMJ Case Reports
PG  - bcr-2018-225788
VI  - 2018
4099  - http://casereports.bmj.com/content/2018/bcr-2018-225788.short
4100  - http://casereports.bmj.com/content/2018/bcr-2018-225788.full
AB  - Infections caused by Mycobacteriumavium complex (MAC) are commonly seen in immunocompromised individuals. Though disseminated MAC infections with splenic granulomas are seen in some patients, MAC infection clinically manifesting as only splenic granulomas is rare. This presentation is even less common in immunocompetent individuals. We report a case of a young adult who presented with fever of unknown origin and was found to have multiple splenic granulomas. Fine needle aspiration cytology and PCR for Mycobacterium tuberculosis of the granulomas revealed a diagnosis of MAC infection. The patient was not found to have any immunodeficiency on investigations. This case is perhaps the first case of MAC clinically presenting as splenic granulomas in an immunocompetent individual.