Disseminated tuberculosis with liver and spleen involvement in an immunocompetent host is a rare entity today, not frequently diagnosed and reported. It is an unusual but possibly fatal form of tuberculosis observed largely in immune-compromised patients. Here, we report a case of a 22-year old immunocompetent woman who presented with multiple nodular opacities on chest X-ray. After investigations, she was diagnosed as a case of disseminated tuberculosis involving lungs, liver, abdominal lymph nodes, and spleen and responded well to antitubercular therapy.
Disseminated tuberculosis, immunocompetent host, splenic tuberculosis