Pancreatic mass caused by Mycobacterium tuberculosis with reduced drug sensitivity

Pancreatic tuberculosis is a rare condition which should be considered in p atients with a pancreatic mass, particularly if the patient is young, not j aundiced, from an area of high TB prevalence with a normal ERCP. We report a case of pancreatic tuberculosis due to Mycobacterium tuberculosis with re duced sensitivity to rifampicin and isoniazid, that was treated with rifabu tin, ciprofloxacin, ethambutol and pyrazinamide following clinical failure of first-line therapy. The case presented illustrates the importance of obt aining material for culture and sensitivity testing in cases of suspected T B, (C) 2001 The British Infection Society.