George Pratish, Pawar Basant, Calton Nalini
Department of Internal Medicine, Christian Medical College and Hospital, Ludhiana, India.
Saudi J Kidney Dis Transpl. 2008 Sep;19(5):790-2.
Tuberculosis is endemic in most South-East Asian countries including India. It causes significant morbidity and mortality in renal transplant recipients and often, it is not diagnosed early, due to its innocuous clinical presentations. A high index of suspicion and proactive management in the early phase of presentation can reduce allograft nephropathy, graft nephrectomy and mortality. A patient with an unusual presentation of tuberculosis localized to the allograft and successful management with anti-tuberculosis medications is described.
包括印度在内的大多数东南亚国家结核病呈地方性流行。它在肾移植受者中导致显著的发病率和死亡率,而且由于其临床表现不明显,往往不能早期诊断。在疾病表现的早期阶段保持高度怀疑并积极处理,可以减少移植肾肾病、移植肾切除术和死亡率。本文描述了一名移植肾局部出现不寻常结核病表现且通过抗结核药物成功治疗的患者。