{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T00:43:12Z","timestamp":1793148192833,"version":"4.5.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,6,12]],"date-time":"2022-06-12T00:00:00Z","timestamp":1654992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction:<\/jats:title>\n Splenic tuberculosis (ST) is an uncommon entity, especially in an immunocompetent patient. Therefore, diagnosis delays may be seen and can lead to fatal complications.<\/jats:p>\n <\/jats:sec>\n \n Presentation of case:<\/jats:title>\n We report a 37-year-old female with no medical history who presented to the emergency with a spontaneous left pyo pneumothorax. Reverse transcription-PCR analysis of COVID-19 was positive. Chest and abdominal Computed Tomography showed a ruptured splenic abscess with left pyopneumothorax. The diagnosis of splenic abscess with pleural fistulization was strongly suspected. Emergency surgery was decided for both therapeutic and diagnostic purposes. A left video thoracoscopy and splenectomy was performed. After histopathological examination, the diagnosis of ST ruptured in the pleural cavity was confirmed. The patient had a stable recovery and completed a 9-months regimen of anti-tuberculosis medications.<\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n ST has no characteristic symptoms and diagnosis may be delayed until life-threatening complications arise. Pyopneumoyhorax complicating ST is an exceptional evolution and rarely reported in the literature. In this case, the authors reported a ST discovered following respiratory signs related to an intrapleural splenic rupture in a young woman co-infection with COVID-19.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n ST is extremely rare and has no characteristic symptoms. The evolution is unpredictable and can lead to splenic rupture. This rupture can be intrathoracic making the diagnosis more difficult.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107312","type":"journal-article","created":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T02:32:19Z","timestamp":1655346739000},"page":"107312","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Pyo pneumothorax revealing splenic tuberculosis abscess in a COVID-19 femmal"],"prefix":"10.1097","volume":"96","author":[{"given":"Imen","family":"Bouassida","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariem Hadj","family":"Dahmane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazem","family":"Zribi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amina","family":"Abdelkbir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaker","family":"Jaber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel","family":"Marghli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-36-20260309","doi-asserted-by":"crossref","first-page":"218","DOI":"10.4046\/trd.2013.75.5.218","article-title":"Spontaneous splenic rupture as a paradoxical reaction during treatment for splenic tuberculosis","volume":"75","author":"Yeo","year":"2013","journal-title":"Tuberc. 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Chemother"},{"key":"R10-36-20260309","doi-asserted-by":"crossref","first-page":"352","DOI":"10.5001\/omj.2018.64","article-title":"Isolated splenic cold abscesses in an immunocompetent individual","volume":"33","author":"Dhibar","year":"2018","journal-title":"Oman Med. J"},{"key":"R11-36-20260309","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1093\/gastro\/gov058","article-title":"Splenic tuberculosis in an immunocompetent patient can be managed conservatively: a case report","volume":"6","author":"Kumar","year":"2018","journal-title":"Gastroenterol. Rep. (Oxf"},{"key":"R12-36-20260309","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1002\/jmv.26311","article-title":"Association between tuberculosis and COVID-19 severity and mortality: a rapid systematic review and meta-analysis","volume":"93","author":"Gao","year":"2021","journal-title":"J. Med. Virol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222005582?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222005582?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107312","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:10:58Z","timestamp":1773047458000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107312"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107312","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}