[Abdominal tuberculosis and amebic abscess. Simultaneous diagnosis of 2 rare infections of same localization].
A 26-year-old Indian male was admitted to hospital with loss of weight and vague abdominal pain of several weeks duration. Ultrasonography and computed tomography showed several expansive lesions near the pancreatic head, probably representing enlarged lymph nodes. A few milliliters of yellowish pus were aspirated by ultrasound guided aspiration. Microscopic examination of the pus showed trophozoits, and Mycobacterium tuberculosis subsequently grew from the pus culture. Abdominal tuberculosis is a rare condition, particularly in the pancreas and the peripancreatic region. The report stresses the importance of considering the possible coexistence of more than one infectious disease in patients from endemic areas.
Medisinsk avdeling, Sentralsykehuset i Akershus, Nordbyhagen.
G
G
Myklebust
J
J
Barstad
K
K
Brabrand
D000328:Adult; D003937:Diagnosis, Differential; D004404:Dysentery, Amebic / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology; D014395:Peritonitis, Tuberculous / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D011859:Radiography; D014463:Ultrasonography
Abdominal tuberkulose og amøbeabscess. Samtidig påvisning av to sjeldne infeksjoner med samme lokalisasjon.