Pancreatic tuberculosis.
Pancreatic tuberculosis is a rare clinical entity. It most often is associated with miliary tuberculosis or occurs in the immunocompromised patient and is extremely uncommon in nonendemic geographic regions. Described is a case of isolated infection of the pancreas by Mycobacterium tuberculosis occurring in an otherwise healthy individual from North America who presented with recurrent hyperamylasemia and fevers. Computerized tomography revealed a multiloculated lesion in the head of the pancreas. Intraoperative biopsies demonstrated granulomas. The diagnosis was confirmed by positive cultures. Triple drug therapy was effective in alleviating symptoms, and a follow up CT revealed a normal pancreas. One year following operation the patient remains well.
Brusko
G
G
Ohio Digestive Disease Institute, Grant Medical Center, Columbus, USA.
Melvin
W S
WS
Fromkes
J J
JJ
Ellison
E C
EC
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D005334:Fever / Q000209:etiology; D006801:Humans; D008297:Male; D010182:Pancreatic Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D014375:Tuberculoma / Q000150:complications / Q000000981:diagnostic imaging*; D014383:Tuberculosis, Endocrine / Q000150:complications / Q000000981:diagnostic imaging*