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Pancreatic Tuberculosis: A Diagnostic Dilemma
Shahan Haseeb1, Muhammad I Bilal2, Syed A Bokhari1
1Internal Medicine, Shifa International Hospital Islamabad, Islamabad, PAK.
Cureus
|September 2, 2021
Summary
Pancreatic tuberculosis (TB) is rare, even in developing nations. This case highlights diagnosing pancreatic TB in an end-stage renal disease patient with a pancreatic mass, leading to successful treatment.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Oncology
Background:
- Tuberculosis (TB) is highly prevalent globally, particularly in developing countries.
- Pancreatic TB is an uncommon manifestation of disseminated TB.
- Symptoms often include fever, night sweats, and abdominal pain, typically in immunocompromised individuals.
Observation:
- A case study of a patient with end-stage renal disease undergoing pre-transplant evaluation.
- Incidental finding of a pancreatic mass and necrotic peri-pancreatic lymph nodes on computed tomography (CT) scan.
- Diagnostic challenge due to non-specific presentation.
Findings:
- Endoscopic ultrasound-guided biopsy confirmed pancreatic tuberculosis.
- The patient received anti-TB therapy.
- Positive clinical response to treatment was observed.
Implications:
- This case underscores the importance of considering pancreatic TB in the differential diagnosis of pancreatic masses, especially in at-risk populations.
- Early diagnosis and treatment of pancreatic TB can lead to favorable outcomes.
- Highlights the utility of endoscopic ultrasound-guided biopsy for diagnosing rare pancreatic infections.
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