Cutaneous and articular tuberculosis in a renal transplant recipient
| Autor: | Elen Almeida Romão, Daniel Borges Drumond, Miguel Moyses-Neto, Valdes Roberto Bolella, Tania Maria Pisi Garcia, Giuliano Morgantetti |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty lcsh:Arctic medicine. Tropical medicine Tuberculosis Articular tuberculosis lcsh:RC955-962 medicine.drug_class Antibiotics Fistulectomy 030230 surgery Cutaneous tuberculosis Mycobacterium tuberculosis 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Forearm Biopsy medicine Kidney transplant Kidney transplantation biology medicine.diagnostic_test business.industry biology.organism_classification medicine.disease Surgery TUBERCULOSE CUTÂNEA Infectious Diseases medicine.anatomical_structure Parasitology Differential diagnosis business |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Revista da Sociedade Brasileira de Medicina Tropical, Vol 50, Iss 4, Pp 565-567 |
| ISSN: | 0037-8682 |
| Popis: | Seven months after undergoing kidney transplantation, a 56-year-old woman presented with papules and ulcers in her right forearm. The patient received antibiotics for 8 months with limited improvement. Eleven months after symptom onset, she presented with acute arthritis in her left knee. Asynovial fluid culture yielded Mycobacterium tuberculosis, and a forearm ulcer biopsy showed granulomatous inflammation. After surgical fistulectomy and 12 months of tuberculosis treatment, she was cured. Chronic cutaneous ulcers and articular manifestations in TB are rare, but they should always be considered in the differential diagnosis for immunosuppressed patients. Surgical intervention and prolonged treatment might be necessary. |
| Databáze: | OpenAIRE |
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