Tuberculosis pancreática con fistulización a duodeno

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.…”

“…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.…”

“…5) Laparotomy 14 (35.0) Therapeutic diagnosis with evidence of miliary TB b 1 (2.5) Discharge from pancreaticoduodenal fistula 1 (2.5) Autopsy 1 (2.5) Preoperative diagnoses (n = 15) [2,5,7-13,16-17,19,22,25] (%) Pancreatic mass 4 (26.7) Pancreatic cancer 3 (20.0) Pancreatic abscess of unknown pathogen 3 (20.0) Acute pancreatitis 2 (13.3) Tuberculous pancreatic abscess c 2 (13.3) Lymphoma or retroperitoneal tumor 1 (6.7) Definitive diagnosis(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] (%) Tuberculous pancreatic abscess without duodenal fistula 26 (65.0) Tuberculous pancreatic abscess with duode-…”