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KMID : 0359920110300050542
Korean Journal of Nephrology
2011 Volume.30 No. 5 p.542 ~ p.545
Isolated Pancreatic Tuberculosis in a Patient with End-Stage Renal Disease
Kim Jin-Gun

Lee Jay-Wook
Kim Hye-Ryoun
Kim Su-Hyun
Oh Dong-Jin
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.
KEYWORD
Tuberculosis, Pancreas, End-stage renal disease, Biopsy, Fine-needle
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