A case of tuberculous splenomegaly with leukopenia and anemia following miliary tuberculosis has been presented. Splenectomy was required after streptomycin failed to control the cytopenias, progressive emaciation, and splenic infection. However, following what appeared to be six weeks of marked improvement, the patient developed a fulminating tuberculous meningitis and died.

ACKNOWLEDGMENT The authors are indebted to Dr. Byrd S. Leavell for his suggestions in the preparation of this paper.

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