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Anales de Medicina Interna
Print version ISSN 0212-7199
Abstract
INCHAURRAGA ALVAREZ, I.; HERREJON SILVESTRE, A.; PLAZA VALIA, P. and BLANQUER OLIVAS, R.. Miliary, ganglionar, pancreatic and costal tuberculosis: Clinical presentation and bibliography review . An. Med. Interna (Madrid) [online]. 2001, vol.18, n.9, pp.39-41. ISSN 0212-7199.
A 42-year-old man was admitted to the hospital with fever, abdominal pain and miliary radiological pattern.The amylase and lipase in serum, and the amylase in urine were increased. The tuberculin skin test was negative. The thoracic and abdominal CT scan showed costal afectation, multiple focal hepatic lesions and large necrosing peripancreatic lymphadenopathies. The transbronchial biopsy and the pancreatic punction demostrated granulomatous necrotic lesions, and M. tuberculosis growed in the bronchial washing culture. The specific treatment normalized the pulmonary, costal and pancreatic lesions.
Keywords : Miliary tuberculosis; Costal tuberculosis; Pancreatic tuberculosis; Lymphadenopathy tubercolous.