Disseminated Tuberculosis in a Kidney Transplant Recipient: A Case Report
Nayana Babu *
Department of Nephrology, Gandhi Medical College and Hospital, Hyderabad, Telangana, India.
Manjusha Yadla
Department of Nephrology, Gandhi Medical College and Hospital, Hyderabad, Telangana, India.
Srinivas P
Department of Nephrology, Gandhi Medical College and Hospital, Hyderabad, Telangana, India.
*Author to whom correspondence should be addressed.
Abstract
Aim: To know about various presentations of Tuberculosis in post renal transplant recipient.
Presentation of the Case: A 32 year old female renal transplant recipient, presented with fever, cough and weight loss, 7 years post transplant at a public sector hospital in South India.. Pulmonary tuberculosis was diagnosed through bronchoscopy and treated with standard antituberculous therapy and immunosuppression was modified. However, she developed intestinal obstruction requiring emergency surgery and had ileal perforation with histopathology report of granulomatous inflammation and subsequently found to have disseminated infection on detailed evaluation.
Discussion: The case highlights the challenges in diagnosing and managing Tuberculosis in transplanted patients. It also underscores the importance of surveillance for drug interactions and adverse effects.
Conclusion: Tuberculosis remains a significant concern in renal transplant recipients, requiring prompt diagnosis and careful management with vigilant monitoring of immunosuppressive levels to prevent complications.
Keywords: Kidney transplant, infections, tuberculosis, disseminated