TY - JOUR
T1 - Pancreatic tuberculosis
T2 - A frequently fatal but potentially curable disease
AU - Ezratty, Ari
AU - Gumaste, Vivek
AU - Rose, Esther
AU - Sachar, David B.
PY - 1990/2
Y1 - 1990/2
N2 - A 40-year-old man with prolonged constitutional symptoms and clinical evidence of pancreatitis and biliary tract obstruction underwent exploratory laparotomy. Intraoperative liver and pancreatic biopsies revealed acid-fast bacilli. Mycobacterium tuberculosis subsequently grew from both sputum and urine cultures. The patient responded well to antituberculosis therapy, although 8 months later, he returned with acquired immunodeficiency syndrome (AIDS) and died of large cell lymphoma 1.5 years later. A review of the literature showed that most similar cases of pancreatic tuberculosis were diagnosed only at postmortem examination. A high index of suspicion and attention to special stains are warranted for diagnosis of this frequently fatal, but potentially curable, disease.
AB - A 40-year-old man with prolonged constitutional symptoms and clinical evidence of pancreatitis and biliary tract obstruction underwent exploratory laparotomy. Intraoperative liver and pancreatic biopsies revealed acid-fast bacilli. Mycobacterium tuberculosis subsequently grew from both sputum and urine cultures. The patient responded well to antituberculosis therapy, although 8 months later, he returned with acquired immunodeficiency syndrome (AIDS) and died of large cell lymphoma 1.5 years later. A review of the literature showed that most similar cases of pancreatic tuberculosis were diagnosed only at postmortem examination. A high index of suspicion and attention to special stains are warranted for diagnosis of this frequently fatal, but potentially curable, disease.
KW - AIDS
KW - Mycobacterium tuberculosis
KW - Pancreatic tuberculosis
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U2 - 10.1097/00004836-199002000-00019
DO - 10.1097/00004836-199002000-00019
M3 - Article
C2 - 2105992
AN - SCOPUS:0025136870
SN - 0192-0790
VL - 12
SP - 74
EP - 77
JO - Journal of clinical gastroenterology
JF - Journal of clinical gastroenterology
IS - 1
ER -