Pancreatic tuberculosis.
A 63-year-old Japanese man visited our institute with fever of unknown origin. Findings on preoperative imaging modalities were consistent with pancreatic carcinoma, but a positive tuberculin skin test indicated tuberculosis infection. Negative results for MycobacteriumDNA polymerase chain reaction from sputum and bone-marrow aspiration biopsy specimens ruled out pulmonary and miliary tuberculosis, respectively. Positron emission tomography (PET) with 2-[fluorine-18]-fluoro-2-deoxy- d-glucose (FDG) showed multiple labeled spots within the pancreas body and chest. Distal pancreatectomy was performed with a diagnosis of suspected pancreatic carcinoma, but the histological and microbiological diagnosis was Mycobacterium infection. A rare case of pancreatic tuberculosis evaluated by FDG PET is reported and discussed herein.
Sanabe
Naoya
N
Department of Surgery, Hamamatsu Medical Center, 328 Tomitsuka, Hamamatsu 432-8580, Japan.
Ikematsu
Yoshito
Y
Nishiwaki
Yoshiro
Y
Kida
Hideo
H
Murohisa
Goh
G
Ozawa
Takachika
T
Hasegawa
Shinichi
S
Okawada
Taketoshi
T
Toritsuka
Tatsuro
T
Waki
Shinji
S
D003937:Diagnosis, Differential; D019298:Glucose-6-Phosphate / Q000031:analogs & derivatives*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D014055:Tomography, Emission-Computed; D014376:Tuberculosis / Q000000981:diagnostic imaging* / Q000473:pathology
C047515:2-fluoro-2-deoxyglucose-6-phosphate; D019298:Glucose-6-Phosphate