ULTRASOUND OF FOCAL SPLENIC LESIONS IN PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS
Abstract
Abdominal ultrasonographic findings of 14 patients with human immunodeficiency virus (HIV) and focal lesions in the spleen were reviewed. There were solitary hypoechoic lesions in 2 patients and multiple hypoechoic lesions in 12 patients. The diagnoses were confirmed by hemoculture (6 patients), lymph node biopsy (5 patients), splenectomy (1 patient), bone marrow aspiration biopsy (1 patient), and response to therapy (1 patient). The causes of focal hypoechoic lesions in the spleen were tuberculosis (7 patients), salmonellosis (6 patients), and nocardiosis (1 patient). For HIV patients with focal hypoechoic lesions in the spleen, particularly in Northern Thailand, a diagnosis of tuberculosis, salmonellosis, or nocardiosis should be considered.
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