Pancreatic tuberculosis in a liver transplant recipient: a case report.
David Romeiro VictorPedro Henrique Teotônio Medeiros PeixotoPaulo Ricardo Andrade de MedeirosHaldson Cesar Barbosa NetoAmanda de Oliveira Ramos SilvaMaria Eugênia Romeiro VictorTiago Luiz Lagedo FerrazPublished in: Revista do Instituto de Medicina Tropical de Sao Paulo (2023)
The pancreatic form of tuberculosis (TB) is rare and its diagnosis is challenging, since it manifests itself with non-specific symptoms and non-pathognomonic radiological findings, mimicking a neoplasia of the pancreas. Here, we report the case of a patient who had previously undergone liver transplantation and sought care for abdominal pain, weight loss, anorexia, hematochezia and postprandial fullness. Following an exploratory laparotomy and nucleic acid amplification testing on a pancreatic sample that had been collected, the patient was diagnosed with pancreatic TB. The patient received anti-tubercular pharmacological therapy and required percutaneous biliary drainage. Awareness of the possibility of a pancreatic TB diagnosis is important for clinicians. This attention should be even greater in patients who have undergone transplants, who are immunodeficient or who are from endemic areas.
Keyphrases
- mycobacterium tuberculosis
- nucleic acid
- case report
- weight loss
- end stage renal disease
- palliative care
- abdominal pain
- ultrasound guided
- chronic kidney disease
- pulmonary tuberculosis
- ejection fraction
- hiv aids
- high grade
- stem cells
- peritoneal dialysis
- minimally invasive
- type diabetes
- physical activity
- working memory
- adipose tissue
- blood pressure
- insulin resistance
- quality improvement
- body mass index
- pain management
- mesenchymal stem cells
- roux en y gastric bypass