title: Pancreatic tuberculosis.
abstract: 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.
authors.affiliation: Department of Surgery, Hamamatsu Medical Center, 328 Tomitsuka, Hamamatsu 432-8580, Japan.
authors.forename: Naoya
authors.initials: N
authors.lastname: Sanabe
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Ikematsu
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Nishiwaki
authors.forename: Hideo
authors.initials: H
authors.lastname: Kida
authors.forename: Goh
authors.initials: G
authors.lastname: Murohisa
authors.forename: Takachika
authors.initials: T
authors.lastname: Ozawa
authors.forename: Shinichi
authors.initials: S
authors.lastname: Hasegawa
authors.forename: Taketoshi
authors.initials: T
authors.lastname: Okawada
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Toritsuka
authors.forename: Shinji
authors.initials: S
authors.lastname: Waki
mesh_terms: 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
chemical_list: C047515:2-fluoro-2-deoxyglucose-6-phosphate; D019298:Glucose-6-Phosphate