Korean J Nephrol.
2011 Sep;30(5):542-545.
Isolated Pancreatic Tuberculosis in a Patient with End-Stage Renal Disease
- Affiliations
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- 1Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. intmdoh@gmail.com
- 2Department of Laboratory Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Abstract
- Tuberculosis (Tb) is a common disease in the developing world and its incidence is slowly increasing in developed countries, where a resurgence has occurred subsequent to the acquired immunodeficiency syndrome epidemic. In addition, patients with end-stage renal disease who are on maintenance hemodialysis carry a high risk for Tb; reported incidence varies from 6-16 times that of the general population. Extrapulmonary Tb constitutes a major part of Tb in dialysis patients. Isolated pancreatic Tb is a very rare occurrence in the setting of extrapulmonary Tb. It usually occurs as a complication of miliary Tb in immunodeficient individuals, particularly those with human immunodeficiency virus infection. There is no isolated pancreatic Tb in patients with end-stage renal disease. We recently experienced a case of isolated pancreatic Tb diagnosed by acid fast bacilli culture, Tb polymerase chain reaction from ultrasound-guided fine needle aspiration, and an excellent response after anti-Tb treatment in a 72-year-old patient with end-stage renal disease.
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