Isolated Pancreatic Tuberculosis in a Patient with End-Stage Renal Disease.
- Author:
Jin Gun KIM
1
;
Jay Wook LEE
;
Hye Ryoun KIM
;
Su Hyun KIM
;
Dong Jin OH
Author Information
1. Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. intmdoh@gmail.com
- Publication Type:Case Report
- Keywords:
Tuberculosis;
Pancreas;
End-stage renal disease;
Biopsy;
Fine-needle
- MeSH:
Acquired Immunodeficiency Syndrome;
Aged;
Biopsy;
Biopsy, Fine-Needle;
Developed Countries;
Dialysis;
HIV;
Humans;
Incidence;
Kidney Failure, Chronic;
Pancreas;
Polymerase Chain Reaction;
Renal Dialysis;
Tuberculosis
- From:Korean Journal of Nephrology
2011;30(5):542-545
- CountryRepublic of Korea
- Language:English
-
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.
