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Case Reports in Medicine
Volume 2012, Article ID 501246, 4 pages
http://dx.doi.org/10.1155/2012/501246
Case Report

Isolated Pancreatic Tuberculosis Mimicking Malignancy in an Immunocompetent Host

1Department of Medicine, Mount Carmel Health, Columbus, OH 43222, USA
2Department of Medicine, Nassau University Medical Center, East Meadow, NY 11554, USA

Received 4 March 2012; Accepted 9 April 2012

Academic Editor: S. A. Sahn

Copyright © 2012 Pooja Raghavan and Dhyan Rajan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Despite the high prevalence of tuberculosis (TB) worldwide, pancreatic TB is rare. When present, pancreatic TB is frequently associated with miliary TB, often in immunocompromised hosts. Pancreatic TB may present as a pancreatic abscess, acute or chronic pancreatitis, and cystic or solid pancreatic masses. We present a case of an immunocompetent patient who presented with two discrete pancreatic masses and was subsequently diagnosed with isolated pancreatic TB. This case suggests that clinicians should have a heightened suspicion of pancreatic TB when faced with discrete pancreatic lesions, especially in patients from areas where the infection is endemic. Such recognition may lead to appropriate diagnostic testing, and possible resolution of pancreatic lesions with antituberculin therapy.