Pancreatic Tuberculosis in a Patient With Human Immunodeficiency Virus: A Rare Diagnosis

Pancreatic tuberculosis with acquired immunodeficiency syndrome: A case report and systematic review

“…A total of 43 cases of HIV-positive patients with pancreatic TB (including the present case) were reviewed [2, . Of these cases, 40 were primarily analyzed [2,[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][25][26][27][28][29][30][31][32][33][34][35][36][37][38] . Table 1 illustrates the clinical characteristics of the pancreatic TB patients with AIDS.…”

“…Gender [2,[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][22][23][24][25][26][27][28][30][31][32][34][35][36][37][38] Male 28/39 (71.8) Female 11/39 (28.2) Known HIV-infected cases [2,[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][25]…”

“…n (%) Evidence of TB on chest X-rays [2,5,6,8-10,12-15,17-20,23-25,27-32,34 -37] 10/31 (32.3) Abnormal CT scans [2,[5][6][7][8][9][10][12][13][14][15][16][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] Pancreatic/peripancreatic mass with or without diffuse pancreatic enlargement 34/36 (94.4) Only diffuse pancreatic enlargement 1/36 (2.8) Small nodular lesions 1/36 (2.8) Topographic lesions of the pancreatic mass from all imaging studies [2,[5][6][7][8][9][10]12,13,15,16,[18][19][20][21][22]…”

“…(n = 40) [2,[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][25][26][27][28][29][30][31][32][33][34][35][36][37][38] (%) FNA with AFB staining and/or mycobacterial culture a 23 (57. a confirmed history of TB; in 3 cases, the patient had had a positive purified protein derivative skin test, and there were 2 cases of pulmonary TB. The median CD4 count (n = 21) was 54/mm 3 (range, 0-718/mm 3 ); 76.2% and 90.5% of the patients had a CD4 count ≤ 120 or ≤ 190/mm 3 , respectively.…”

“…FNA was attempted in 29 cases, but was successful in only 25 (86.2%), 2 of which did not include a documented AFB smear or mycobacterial culture. Only one specimen was successfully obtained using endoscopic US-guided aspiration [38] , whereas the other specimens were obtained percutaneously [6,10,15,18,21,[25][26][27][28][29][30][31][32][34][35][36][37] . In the cases in which AFB smears and/or mycobacterial cultures of the FNA specimens were conducted, 20 of 20 (100.0%) and 18 of 19 (94.7%), respectively, were positive.…”