Document 0207
 DOCN  M95A0207
 TI    Tuberculous pancreatic abscess as an initial AIDS-defining disorder in a
       patient infected with the human immunodeficiency virus: case report and
       review.
 DT    9510
 AU    Jaber B; Gleckman R; Department of Medicine, Carney Hospital, Boston,
       Massachusetts; 02124, USA.
 SO    Clin Infect Dis. 1995 Apr;20(4):890-4. Unique Identifier : AIDSLINE
       MED/95315393
 AB    Tuberculosis (TB) is the most common opportunistic infection worldwide
       in human immunodeficiency virus (HIV)-infected patients. Intraabdominal
       TB includes lymphadenopathy and focal lesions of solid viscera.
       Symptomatic expression of tuberculous invasion of the pancreas
       (supplemented by demonstration of a mass on imaging) is rare among
       HIV-infected patients. We report the case of an HIV-infected patient
       with a tuberculous pancreatic abscess and review nine similar cases. All
       patients presented with persistent fever and abdominal pain. The
       diagnosis was made on the basis of detection of pancreatic mass lesions
       on computed tomographic (CT) scans and the results of cultures and/or
       acid-fast stains of peripancreatic abscess material and/or other body
       fluids. Despite an excellent response to antituberculous therapy, three
       patients died of unrelated causes. In the setting of a febrile illness
       with abdominal symptoms, tuberculous pancreatic abscess should be
       considered in the differential diagnosis for HIV-infected patients with
       a CT-identified mass lesion.
 DE    Abscess/*COMPLICATIONS  Acquired Immunodeficiency
       Syndrome/COMPLICATIONS/*DIAGNOSIS  Adult  *AIDS-Related Opportunistic
       Infections  Case Report  Female  Human  Pancreatic
       Diseases/*COMPLICATIONS  Tuberculosis/*COMPLICATIONS  JOURNAL ARTICLE
       REVIEW  REVIEW OF REPORTED CASES

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