Small G, Wilks D
Regional Infectious Diseases Unit, Western General Hospital, Edinburgh EH4 2XU, UK.
J Infect. 2001 Apr;42(3):201-2. doi: 10.1053/jinf.2001.0828.
Pancreatic tuberculosis is a rare condition which should be considered in patients with a pancreatic mass, particularly if the patient is young, not jaundiced, from an area of high TB prevalence with a normal ERCP. We report a case of pancreatic tuberculosis due to Mycobacterium tuberculosis with reduced sensitivity to rifampicin and isoniazid, that was treated with rifabutin, ciprofloxacin, ethambutol and pyrazinamide following clinical failure of first-line therapy. The case presented illustrates the importance of obtaining material for culture and sensitivity testing in cases of suspected TB.
胰腺结核是一种罕见疾病，对于有胰腺肿块的患者应考虑此病，特别是患者年轻、无黄疸、来自结核病高发地区且内镜逆行胰胆管造影（ERCP）正常的情况。我们报告一例由结核分枝杆菌引起的胰腺结核病例，该菌株对利福平和异烟肼敏感性降低，一线治疗临床失败后采用利福布汀、环丙沙星、乙胺丁醇和吡嗪酰胺进行治疗。所呈现的病例说明了在疑似结核病病例中获取培养和药敏试验材料的重要性。
