Isolated Pancreatic Tuberculosis in a Patient with End-Stage Renal Disease
- Authors
- Jin-Gun Kim; Jay-Wook Lee; 김혜련; 김수현; Dong-Jin Oh
- Issue Date
- 2011
- Publisher
- 대한신장학회
- Keywords
- Tuberculosis; Pancreas; End-stage renal disease; Biopsy; Fine-needle
- Citation
- Kidney Research and Clinical Practice, v.30, no.5, pp 542 - 545
- Pages
- 4
- Journal Title
- Kidney Research and Clinical Practice
- Volume
- 30
- Number
- 5
- Start Page
- 542
- End Page
- 545
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/27495
- ISSN
- 2211-9132
2211-9140
- 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.
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