Tuberculosis post-liver transplantation: a rare but complicated disease.
Ann Acad Med Singap
; 34(2): 213-5, 2005 Mar.
Article
em En
| MEDLINE
| ID: mdl-15827670
ABSTRACT
INTRODUCTION:
Tuberculosis is a rare but serious complication after transplantation. We report a case and discuss its presentation and management. CLINICAL PICTURE A 60-year-old Indonesian male presented initially with fever, acute confusion and rapidly progressive right upper lobe pneumonia 3.5 months post-liver transplant, and was diagnosed with pulmonary tuberculosis by positive sputum smear for acid-fast bacilli and tuberculosis culture. TREATMENT/OUTCOME:
Standard anti-tuberculosis therapy was administered but was complicated by interaction with cyclosporine and drug-induced cholestasis.CONCLUSION:
A high level of suspicion, prompt antituberculosis treatment and close follow-up are essential in management of post-transplant tuberculosis.
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Base de dados:
MEDLINE
Assunto principal:
Tuberculose Pulmonar
/
Transplante de Fígado
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article