<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Miliary tuberculosis (TB) presents a major challenge following a renal transplant in humans. In the current report, we described a patient with disseminated TB following renal transplantation. The article presents the case of a 38-year-old man who presented an 8-month history of fever, chills, sweating, low-back pain and significant weight loss. Chest radiography and computed tomography (CT) scan showed miliary nodules distributed in the two lungs. The transbronchial lung biopsy revealed a granulomatous reaction with caseous necrosis. Magnetic resonance imaging (MRI) of the brain found multiple tuberculomas. Also, MRI of the lumbosacral was indicative of a psoas abscess. Therefore, miliary pulmonary, cerebral and spinal TB was confirmed. The patient was started on an anti-TB regimen and paravertebral aspiration was also done. The patient’s condition improved considerably. In conclusion, this case report can remind us of the importance of maintaining a high clinical suspicion and performing a thorough workup to establish a timely diagnosis and treatment of miliary TB.</p></abstract>

Miliary tuberculosis (TB) presents a major challenge following a renal transplant in humans. In the current report, we described a patient with disseminated TB following renal transplantation. The article presents the case of a 38-year-old man who presented an 8-month history of fever, chills, sweating, low-back pain and significant weight loss. Chest radiography and computed tomography (CT) scan showed miliary nodules distributed in the two lungs. The transbronchial lung biopsy revealed a granulomatous reaction with caseous necrosis. Magnetic resonance imaging (MRI) of the brain found multiple tuberculomas. Also, MRI of the lumbosacral was indicative of a psoas abscess. Therefore, miliary pulmonary, cerebral and spinal TB was confirmed. The patient was started on an anti-TB regimen and paravertebral aspiration was also done. The patient’s condition improved considerably. In conclusion, this case report can remind us of the importance of maintaining a high clinical suspicion and performing a thorough workup to establish a timely diagnosis and treatment of miliary TB.

Disseminated <italic>Mycobacterium tuberculosis</italic> following renal transplant: A case report

Infectious Diseases and Tropical Medicine Research Center, Health Research Institute

Kermanshah University of Medical Sciences

Pneumologia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Disseminated  following renal transplant: A case report

Miliary tuberculosis (TB) presents a major challenge following a renal transplant in humans. In the current report, we described a patient with disseminated TB...

Disseminated Mycobacterium tuberculosis following renal transplant: A case report

Published Online: Aug 30, 2021

Page range: 182 - 185

DOI: https://doi.org/10.2478/pneum-2021-0008

Keywords
Mycobacterium tuberculosis, renal transplant, miliary tuberculosis

© 2020 Mahmoud Sadeghi-Haddad-Zavareh et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Disseminated Mycobacterium tuberculosis following renal transplant: A case report

Published Online: Aug 30, 2021

Page range: 182 - 185

DOI: https://doi.org/10.2478/pneum-2021-0008

KeywordsMycobacterium tuberculosis, renal transplant, miliary tuberculosis

© 2020 Mahmoud Sadeghi-Haddad-Zavareh et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
Mycobacterium tuberculosis, renal transplant, miliary tuberculosis