No abstract

Tuberculosis lymphadenitis is the frequent form of extra pulmonary tuberculosis (EPTB). Fine needle technique is easy to be carried out by trained healthcare workers in resources limited setting like Nigeria. This case report was aimed to highlight use and challenges of fine-needle aspirate biopsy (FNAB) for GeneXpert MTB/RIF assay in the diagnosis of EPTB. Fine needle aspirate was taken from left lymph node and processed for cytological staining with Diff Quik and Ziehl Neelsen stains (ZN) as well as GeneXpert molecular assay. The Diff Quick and ZN showed necrotic debris with epithelioid histiocytes and occasional giant cells while ZN was negative. GeneXpert result reveals Mycobacterium tuberculosis Complex and Rifampicin resistance not detected. These findings provided quick and effective means of diagnosis of EPTB especially from FNAB which has not been commonly undertaken in resource limited Nigeria. J Microbiol Infect Dis 2020; 10(1):59-61.

Splenic cyst with splenocutaneous fistula is extremely rare. It is mainly caused by trauma or parasitic infestation. Splenic cyst mainly present with right upper quadrant abdominal pain and swelling. It can be complicated by rupture however presentation as splenecutaneous fistula is extremely rare as only one case was reported in the literature. Management of splenic cyst can be partial or total splenectomy and can be done open or laparoscopic. In this case we present a case of splenic cyst with splenocutaneous fistula that was managed surgically with resection.