Disseminated tuberculosis after renal transplantation
Autor: | A. Franz, U. Frei, C. O. Feddersen, Koch Km, S. Merscher, Rudolf Pichlmayr, Schorn T |
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Rok vydání: | 1990 |
Předmět: |
Adult
Nephrology medicine.medical_specialty Pediatrics Time Factors Tuberculosis Fever Antitubercular Agents Autopsy Chronic liver disease Internal medicine Ascites medicine Humans Kidney transplantation Transplantation business.industry Middle Aged medicine.disease Kidney Transplantation Anti-Bacterial Agents Surgery Female medicine.symptom Complication business Immunosuppressive Agents |
Zdroj: | Transplant International. 3:113-115 |
ISSN: | 1432-2277 0934-0874 |
Popis: | Disseminated mycobacterial infections occurred in two female renal graft recipients late after transplantation. In the first patient, initially presenting with fever, diagnosis was made at autopsy. Temporary defervescence following antibiotic therapy with ofloxacin possibly contributed to the fatal diagnostic delay. In the second case, body temperature was normal throughout the protracted course of the patient's illness. Her presenting symptom was rapidly increasing ascites, attributed initially to chronic liver disease. These cases demonstrate that tuberculosis remains a serious complication after renal transplantation, in particular due to its sometimes atypical clinical manifestations. Response to antibacterial therapy has to be critically evaluated in order to avoid fatal diagnostic delay. |
Databáze: | OpenAIRE |
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