Pancreatic tuberculosis mimicking a neoplastic mass in an immunosuppressed patient who also presented adenopathy syndrome: Case report
Introduction: Pancreatic tuberculosis is unusual, with an incidence reported to be less than 4,7 % worldwide. Case report: We report the case of a 32-year-old man recently diagnosed with HIV whose adenopathy syndrome was understudy. Lymph node cervical and bone marrow biopsies were performed without...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250922002700 |
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| author | Jairo Enrique Mendoza Saavedra Carlos Andrés Pérez Martínez Germán Manuel Tovar Fierro Isabel Cristina Bolívar Aguilera María Camila Martínez Jímenez Gloria Liliana Mendoza Valbuena Maria Camila Mendoza Gaona |
| author_facet | Jairo Enrique Mendoza Saavedra Carlos Andrés Pérez Martínez Germán Manuel Tovar Fierro Isabel Cristina Bolívar Aguilera María Camila Martínez Jímenez Gloria Liliana Mendoza Valbuena Maria Camila Mendoza Gaona |
| author_sort | Jairo Enrique Mendoza Saavedra |
| collection | DOAJ |
| description | Introduction: Pancreatic tuberculosis is unusual, with an incidence reported to be less than 4,7 % worldwide. Case report: We report the case of a 32-year-old man recently diagnosed with HIV whose adenopathy syndrome was understudy. Lymph node cervical and bone marrow biopsies were performed without evidence of neoplastic infiltration, fungal infection, or tuberculosis. He arrived at the emergency room for acute band abdominal pain radiating to the back. Results: Contrast-enhanced abdominal computed tomography revealed a mass in the head of the pancreas which generates intra- and extrahepatic bile duct dilation. Serial sputum, PPD, Genexpert, bronchoscopy and ultrasound fine needle aspiration biopsy were negative for tuberculosis, with no evidence of microorganisms or malignancy; cultures results pending. A second biopsy was requested using a No. 19 needle reporting a necrotizing process with acid-fast bacilli, compatible with tuberculosis, and the pending cultures results were positive for the mycobacterium tuberculosis complex, confirming the diagnosis. Conclusion: Clinical awareness of pancreatic tuberculosis in immunosuppressed patients in our country, may lead to faster and accurate diagnosis study and management, using minimally invasive techniques as diagnostic tools. |
| first_indexed | 2024-04-13T06:39:48Z |
| format | Article |
| id | doaj.art-f4bd1e8377be42cc8e289dc0b3d98a12 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-04-13T06:39:48Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-f4bd1e8377be42cc8e289dc0b3d98a122022-12-22T02:57:47ZengElsevierIDCases2214-25092022-01-0130e01642Pancreatic tuberculosis mimicking a neoplastic mass in an immunosuppressed patient who also presented adenopathy syndrome: Case reportJairo Enrique Mendoza Saavedra0Carlos Andrés Pérez Martínez1Germán Manuel Tovar Fierro2Isabel Cristina Bolívar Aguilera3María Camila Martínez Jímenez4Gloria Liliana Mendoza Valbuena5Maria Camila Mendoza Gaona6Department of Gastroenterology and Digestive Surgery, Major in Gastrointestinal Surgery and Digestive System Endoscopy, FOSCAL Clinic, Floridablanca, Santander, ColombiaDepartment of Hemato-oncology, FOSCAL Clinic, Floridablanca, Santander, ColombiaDepartment of Gastroenterology and Digestive Surgery, Major in Gastroenterology and Digestive System Endoscopy, FOSCAL Clinic, Floridablanca, Santander, ColombiaFOSCAL Clinic, Floridablanca, Santander, ColombiaHUS University Hospital of Santander, Bucaramanga, ColombiaFOSCAL Clinic, Floridablanca, Santander, Colombia; Corresponding author.Pontificia Universidad Javeriana, Bogotá, ColombiaIntroduction: Pancreatic tuberculosis is unusual, with an incidence reported to be less than 4,7 % worldwide. Case report: We report the case of a 32-year-old man recently diagnosed with HIV whose adenopathy syndrome was understudy. Lymph node cervical and bone marrow biopsies were performed without evidence of neoplastic infiltration, fungal infection, or tuberculosis. He arrived at the emergency room for acute band abdominal pain radiating to the back. Results: Contrast-enhanced abdominal computed tomography revealed a mass in the head of the pancreas which generates intra- and extrahepatic bile duct dilation. Serial sputum, PPD, Genexpert, bronchoscopy and ultrasound fine needle aspiration biopsy were negative for tuberculosis, with no evidence of microorganisms or malignancy; cultures results pending. A second biopsy was requested using a No. 19 needle reporting a necrotizing process with acid-fast bacilli, compatible with tuberculosis, and the pending cultures results were positive for the mycobacterium tuberculosis complex, confirming the diagnosis. Conclusion: Clinical awareness of pancreatic tuberculosis in immunosuppressed patients in our country, may lead to faster and accurate diagnosis study and management, using minimally invasive techniques as diagnostic tools.http://www.sciencedirect.com/science/article/pii/S2214250922002700Adenopathy-syndromeEndoscopic ultrasoundVIHExtra-pulmonary tuberculosisPancreatic tuberculosis |
| spellingShingle | Jairo Enrique Mendoza Saavedra Carlos Andrés Pérez Martínez Germán Manuel Tovar Fierro Isabel Cristina Bolívar Aguilera María Camila Martínez Jímenez Gloria Liliana Mendoza Valbuena Maria Camila Mendoza Gaona Pancreatic tuberculosis mimicking a neoplastic mass in an immunosuppressed patient who also presented adenopathy syndrome: Case report IDCases Adenopathy-syndrome Endoscopic ultrasound VIH Extra-pulmonary tuberculosis Pancreatic tuberculosis |
| title | Pancreatic tuberculosis mimicking a neoplastic mass in an immunosuppressed patient who also presented adenopathy syndrome: Case report |
| title_full | Pancreatic tuberculosis mimicking a neoplastic mass in an immunosuppressed patient who also presented adenopathy syndrome: Case report |
| title_fullStr | Pancreatic tuberculosis mimicking a neoplastic mass in an immunosuppressed patient who also presented adenopathy syndrome: Case report |
| title_full_unstemmed | Pancreatic tuberculosis mimicking a neoplastic mass in an immunosuppressed patient who also presented adenopathy syndrome: Case report |
| title_short | Pancreatic tuberculosis mimicking a neoplastic mass in an immunosuppressed patient who also presented adenopathy syndrome: Case report |
| title_sort | pancreatic tuberculosis mimicking a neoplastic mass in an immunosuppressed patient who also presented adenopathy syndrome case report |
| topic | Adenopathy-syndrome Endoscopic ultrasound VIH Extra-pulmonary tuberculosis Pancreatic tuberculosis |
| url | http://www.sciencedirect.com/science/article/pii/S2214250922002700 |
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