Isolated Pancreatic Tuberculosis in a Patient with End-Stage Renal Disease

Korean Journal of Nephrology 2011;30(5):542-545.

Jin-Gun Kim, M.D.1, Jay-Wook Lee, M.D.1, Hye-Ryoun Kim, M.D.2, Su-Hyun Kim, M.D.1 and Dong-Jin Oh, M.D.1

Department of Internal Medicine1 and Laboratory Medicine²
Chung-Ang University College of Medicine, Seoul, Korea

증례 : Isolated Pancreatic Tuberculosis in a Patient with End-Stage Renal Disease

Jin-Gun Kim, M.D.1, Jay-Wook Lee, M.D.1, Hye-Ryoun Kim, M.D.2, Su-Hyun Kim, M.D.1 and Dong-Jin Oh, M.D.1

Department of Internal Medicine1 and Laboratory Medicine2, Chung-Ang University College of Medicine, Seoul, Korea

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.

Key Words: Tuberculosis, Pancreas, End-stage renal disease, Biopsy, Fine-needle