Tuberculosis (TB) Following Renal Transplant

AUTHORS

A Haddadi 1 , * , E Razeghi 1

1 Iran

How to Cite: Haddadi A, Razeghi E. Tuberculosis (TB) Following Renal Transplant, J Kermanshah Univ Med Sci. 2005 ; 9(3):e81592.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 9 (3); e81592
Published Online: December 19, 2005
Article Type: Research Article
Received: July 10, 2005
Accepted: December 10, 2005

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Abstract

Introduction: Mycobacterial tuberculosis (TB) infection is a serious opportunistic infection in renal transplant patients. Although TB is normally considered as an opportunistic infection of the early period, it can be diagnosed at any time. In this study four patients who suffered from TB were examined.

Cases Report: Among 200 patients who were monthly examined in Sina Hospital of Tehran, TB was found in four patients, with two presenting <1 year after surgery and others after 5 years. TB was diagnosed by smear, culture, pathology and chest radiography. Three cases presented with pulmonary TB and another with PIE. Three of them had negative PPD test before transplantation. Cyclosporine serum levels were monitored in all cases and in two cases dosage was increased. Hepatotoxicity occurred in one case and all of the cases had functioning grafts.

Conclusion: As TB is an endemic disease in Iran; we should consider it in every kidney transplant patient with lung problems.

Keywords

Tuberculosis Renal Transplant

© 2005, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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