| Autor: |
Schulman, Larry L., Scully, Brian, McGregor, Carlton C., Austin, John H.M. |
| Zdroj: |
Chest; May 1997, Vol. 111 Issue: 5 p1459-1462, 4p |
| Abstrakt: |
During a 5-year study period, we diagnosed pulmonary tuberculosis in two (2%) of 94 lung and heart-lung transplant recipients. Each infection occurred 3 months after bilateral lung transplantation in the presence of evidence implicating donor-to-recipient transmission of the pathogen. The radiographic patterns of pulmonary tuberculosis were subtle: narrowing of the middle lobe bronchus of the right lung caused by an endobronchial granulomatous mass (n=1) and a focal cluster of small nodules in the upper lobe of the left lung and small bilateral pleural effusions (n=1). Each patient achieved complete clinical and radiographic response after antituberculous therapy. We conclude that Mycobacterium tuberculosismay be transmitted directly by a donor lung and may involve bronchial mucosa, pulmonary parenchyma, and pleura. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
|
