原发性脾结核在临床上非常少见,且临床表现缺乏特异性,多为发热、消瘦、贫血等,影像学检查可发现脾脏占位,但难以与其他疾病相鉴别,尤其当伴发淋巴结结核时,容易与淋巴瘤相混淆。本院收治了1例原发性脾及腹腔淋巴结结核误诊为淋巴瘤患者,现报道如下。1病历资料患者女,35岁。2011年7月无明显诱因出现持续性发热,热峰37.5~38℃,有时达39.0℃,多在下午出现,伴全身乏力、咽痛、头昏。辅助检查:生化 Primary splenic tuberculosis is clinically very rare, and the clinical manifestations of the lack of specificity, mostly fever, weight loss, anemia, imaging examination can be found spleen space, but difficult to differentiate and other diseases, especially when accompanied by lymph node tuberculosis When it is easy to be confused with lymphoma. The hospital admitted to a case of primary spleen and abdominal lymph node misdiagnosed as lymphoma patients, are reported below. Patient information Female patient, 35 years old. July 2011 no significant incentive to persistent fever, peak 37.5 ~ 38 ℃, and sometimes up to 39.0 ℃, mostly in the afternoon, with generalized weakness, sore throat, dizziness. Auxiliary examination: biochemistry