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Tuberculosis isolated to the renal allograft
: Immunosuppressed patients after renal transplantation are at increased risk of developing infective complications, including tuberculosis. We describe four renal transplant patients who presented with tuberculosis isolated to the renal allograft. The three patients with adequate follow‐up presente...
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| Published in: | Transplant infectious disease 1999-03, Vol.1 (1), p.83-86 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c2819-963d5197c1c7643baa9c4455ab6f47d0cc0912cdc233d9a5806de173020e43 |
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| cites | cdi_FETCH-LOGICAL-c2819-963d5197c1c7643baa9c4455ab6f47d0cc0912cdc233d9a5806de173020e43 |
| container_end_page | 86 |
| container_issue | 1 |
| container_start_page | 83 |
| container_title | Transplant infectious disease |
| container_volume | 1 |
| creator | Lorimer, I. Botha, J. Pontin, A.R. Pascoe, M.D. Kahn, D. |
| description | :
Immunosuppressed patients after renal transplantation are at increased risk of developing infective complications, including tuberculosis. We describe four renal transplant patients who presented with tuberculosis isolated to the renal allograft. The three patients with adequate follow‐up presented with a febrile illness 12–26 months after the transplant. The mycobacterial infection was found in the graft nephrectomy specimen in three patients. One patient with renal allograft dysfunction had a percutaneous biopsy that showed tuberculosis. The latter patient recovered renal allograft function after anti‐tuberculous therapy. None of the patients had evidence of tuberculosis elsewhere. We conclude that tuberculosis isolated to the renal allograft, especially in an endemic area, may be the cause of renal dysfunction, and appropriate therapy could lead to salvage of the graft. |
| doi_str_mv | 10.1034/j.1399-3062.1999.10109.x |
| format | article |
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Immunosuppressed patients after renal transplantation are at increased risk of developing infective complications, including tuberculosis. We describe four renal transplant patients who presented with tuberculosis isolated to the renal allograft. The three patients with adequate follow‐up presented with a febrile illness 12–26 months after the transplant. The mycobacterial infection was found in the graft nephrectomy specimen in three patients. One patient with renal allograft dysfunction had a percutaneous biopsy that showed tuberculosis. The latter patient recovered renal allograft function after anti‐tuberculous therapy. None of the patients had evidence of tuberculosis elsewhere. We conclude that tuberculosis isolated to the renal allograft, especially in an endemic area, may be the cause of renal dysfunction, and appropriate therapy could lead to salvage of the graft.</description><identifier>ISSN: 1398-2273</identifier><identifier>EISSN: 1399-3062</identifier><identifier>DOI: 10.1034/j.1399-3062.1999.10109.x</identifier><identifier>PMID: 11428974</identifier><language>eng</language><publisher>Copenhagen: Munksgaard International Publishers</publisher><subject>Adult ; Anti-Bacterial Agents ; Antitubercular Agents - therapeutic use ; Biopsy, Needle ; Drug Therapy, Combination - therapeutic use ; endemic area ; Female ; Humans ; Kidney Transplantation - pathology ; Male ; Nephrectomy ; Postoperative Complications ; renal allograft ; Reoperation ; Transplantation, Homologous ; tuberculosis ; Tuberculosis - drug therapy ; Tuberculosis - pathology</subject><ispartof>Transplant infectious disease, 1999-03, Vol.1 (1), p.83-86</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2819-963d5197c1c7643baa9c4455ab6f47d0cc0912cdc233d9a5806de173020e43</citedby><cites>FETCH-LOGICAL-c2819-963d5197c1c7643baa9c4455ab6f47d0cc0912cdc233d9a5806de173020e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11428974$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lorimer, I.</creatorcontrib><creatorcontrib>Botha, J.</creatorcontrib><creatorcontrib>Pontin, A.R.</creatorcontrib><creatorcontrib>Pascoe, M.D.</creatorcontrib><creatorcontrib>Kahn, D.</creatorcontrib><title>Tuberculosis isolated to the renal allograft</title><title>Transplant infectious disease</title><addtitle>Transpl Infect Dis</addtitle><description>:
Immunosuppressed patients after renal transplantation are at increased risk of developing infective complications, including tuberculosis. We describe four renal transplant patients who presented with tuberculosis isolated to the renal allograft. The three patients with adequate follow‐up presented with a febrile illness 12–26 months after the transplant. The mycobacterial infection was found in the graft nephrectomy specimen in three patients. One patient with renal allograft dysfunction had a percutaneous biopsy that showed tuberculosis. The latter patient recovered renal allograft function after anti‐tuberculous therapy. None of the patients had evidence of tuberculosis elsewhere. We conclude that tuberculosis isolated to the renal allograft, especially in an endemic area, may be the cause of renal dysfunction, and appropriate therapy could lead to salvage of the graft.</description><subject>Adult</subject><subject>Anti-Bacterial Agents</subject><subject>Antitubercular Agents - therapeutic use</subject><subject>Biopsy, Needle</subject><subject>Drug Therapy, Combination - therapeutic use</subject><subject>endemic area</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Transplantation - pathology</subject><subject>Male</subject><subject>Nephrectomy</subject><subject>Postoperative Complications</subject><subject>renal allograft</subject><subject>Reoperation</subject><subject>Transplantation, Homologous</subject><subject>tuberculosis</subject><subject>Tuberculosis - drug therapy</subject><subject>Tuberculosis - pathology</subject><issn>1398-2273</issn><issn>1399-3062</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNqNkF9LwzAUxYMobk6_gvTJJ1tzk7TpfRFk_hsMBNl7SNNUO7J1Ji1u3952G_rq0z3ce8658CMkApoA5eJumQBHjDnNWAKI2G-BYrI9IePfw-le5zFjko_IRQhLSkGiwHMyAhAsRynG5HbRFdabzjWhDlEdGqdbW0ZtE7WfNvJ2rV2knWs-vK7aS3JWaRfs1XFOyPvz02L6Gs_fXmbTh3lsWA4YY8bLFFAaMDITvNAajRBpqousErKkxlAEZkrDOC9RpznNSguSU0at4BNycyjd-Oars6FVqzoY65xe26YLKsMUGEjZG_OD0fgmBG8rtfH1SvudAqoGTGqpBhpqoKEGTGqPSW376PXxR1esbPkXPHLpDfcHw3ft7O7fxWoxe9xL_gOCbXVK</recordid><startdate>199903</startdate><enddate>199903</enddate><creator>Lorimer, I.</creator><creator>Botha, J.</creator><creator>Pontin, A.R.</creator><creator>Pascoe, M.D.</creator><creator>Kahn, D.</creator><general>Munksgaard International Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199903</creationdate><title>Tuberculosis isolated to the renal allograft</title><author>Lorimer, I. ; Botha, J. ; Pontin, A.R. ; Pascoe, M.D. ; Kahn, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2819-963d5197c1c7643baa9c4455ab6f47d0cc0912cdc233d9a5806de173020e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Anti-Bacterial Agents</topic><topic>Antitubercular Agents - therapeutic use</topic><topic>Biopsy, Needle</topic><topic>Drug Therapy, Combination - therapeutic use</topic><topic>endemic area</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Transplantation - pathology</topic><topic>Male</topic><topic>Nephrectomy</topic><topic>Postoperative Complications</topic><topic>renal allograft</topic><topic>Reoperation</topic><topic>Transplantation, Homologous</topic><topic>tuberculosis</topic><topic>Tuberculosis - drug therapy</topic><topic>Tuberculosis - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lorimer, I.</creatorcontrib><creatorcontrib>Botha, J.</creatorcontrib><creatorcontrib>Pontin, A.R.</creatorcontrib><creatorcontrib>Pascoe, M.D.</creatorcontrib><creatorcontrib>Kahn, D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Transplant infectious disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lorimer, I.</au><au>Botha, J.</au><au>Pontin, A.R.</au><au>Pascoe, M.D.</au><au>Kahn, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tuberculosis isolated to the renal allograft</atitle><jtitle>Transplant infectious disease</jtitle><addtitle>Transpl Infect Dis</addtitle><date>1999-03</date><risdate>1999</risdate><volume>1</volume><issue>1</issue><spage>83</spage><epage>86</epage><pages>83-86</pages><issn>1398-2273</issn><eissn>1399-3062</eissn><abstract>:
Immunosuppressed patients after renal transplantation are at increased risk of developing infective complications, including tuberculosis. We describe four renal transplant patients who presented with tuberculosis isolated to the renal allograft. The three patients with adequate follow‐up presented with a febrile illness 12–26 months after the transplant. The mycobacterial infection was found in the graft nephrectomy specimen in three patients. One patient with renal allograft dysfunction had a percutaneous biopsy that showed tuberculosis. The latter patient recovered renal allograft function after anti‐tuberculous therapy. None of the patients had evidence of tuberculosis elsewhere. We conclude that tuberculosis isolated to the renal allograft, especially in an endemic area, may be the cause of renal dysfunction, and appropriate therapy could lead to salvage of the graft.</abstract><cop>Copenhagen</cop><pub>Munksgaard International Publishers</pub><pmid>11428974</pmid><doi>10.1034/j.1399-3062.1999.10109.x</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1398-2273 |
| ispartof | Transplant infectious disease, 1999-03, Vol.1 (1), p.83-86 |
| issn | 1398-2273 1399-3062 |
| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Anti-Bacterial Agents Antitubercular Agents - therapeutic use Biopsy, Needle Drug Therapy, Combination - therapeutic use endemic area Female Humans Kidney Transplantation - pathology Male Nephrectomy Postoperative Complications renal allograft Reoperation Transplantation, Homologous tuberculosis Tuberculosis - drug therapy Tuberculosis - pathology |
| title | Tuberculosis isolated to the renal allograft |
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