Tuberculosis: public health aspects. Re: Tuberculosis post-liver transplantation: a rare but complicated disease.
نویسندگان
چکیده
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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عنوان ژورنال:
- Annals of the Academy of Medicine, Singapore
دوره 34 2 شماره
صفحات -
تاریخ انتشار 2005