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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
 


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.

        Key words: Intestinal tuberculosis - Renal transplantation - Immunosuppression
       

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