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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitřní lékařství, 49, 2003, č. 1, s. 73 - 76 |
Uncommon Manifestation
of Tuberculosis in a Female Patient after Renal Transplantation Kukura Š.1, Viklický O.1, Rudiš J.2, Honsová E.3, Lácha J.1, Teplan V.1 1Klinika nefrologie, Transplantcentrum IKEM, Praha, přednosta prof. MUDr. V. Teplan, DrSc. 2Klinika transplantační chirurgie, Transplantcentrum IKEM, Praha, přednosta doc. MUDr.M. Ryska, CSc. 3Patologicko-anatomické pracoviště IKEM, Praha, přednosta MUDr. E. Honsová |
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Summary: Organ transplant recipients are at the increased risk of infection complications. Herein, we
present a case of unusual localisation of tuberculosis in renal allograft recipient treated by combination
of cyclosporine A, mycophenolate mofetil and steroids. After the non specific prodromes,
surgery due to ileus discovered ileocaecal tumour. Microscopically tuberculosis inflammatory
process with ulcerations of the intestinal mucosa and caseification of the lymphatic nodes, instead
of the expected lymphoma was proved to be present. We are discussing the incidence of
tuberculosis in relation to immunosuppressive therapy as well as possible pathways of tuberculosis
transmission.
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