Pancreatic Tuberculosis

Pancreatic TB is a rare chronic specific pancreatic infection, usually secondary to TB elsewhere. It mimics chronic pancreatitis with recurrent right upper/mid abdominal pain worsened by eating and radiating to the back; elevated urinary amylase plus alcohol history suggests chronic pancreatitis.

Common Symptoms

Epigastric pain; night sweats; low fever; weight loss

Causes and Pathogenesis

May relate to trauma/surgery, metabolic/nutritional disorders, genetics, or endocrine abnormalities.

Treatment

Surgical treatment, drug therapy, supportive therapy

Preventive Measures

1. Prevent related diseases: biliary tract disease is common in the elderly; hyperparathyroidism and hyperlipidemia must also be treated. 2. Thoroughly treat acute pancreatitis, as many chronic cases follow untreated acute episodes. 3. Avoid or minimize alcohol; chronic alcoholism is a major cause; chronic pancreatitis patients must abstain completely. 4. Moderate diet, avoid overeating; elderly should eat light, avoid spicy/fatty/rich foods. 5. Maintain emotional well-being.

Department to Visit

It is recommended to visit the Infectious Diseases department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.