肾移植受者的胃肠道结核：病例报告及文献复习

Gastrointestinal tuberculosis in renal transplant recipients: case report and review of the literature.

作者信息

Jarrett O, Grim S A, Benedetti E, Clark N M

机构信息

Department of Internal Medicine, Section of Infectious Diseases, University of Illinois at Chicago, Illinois 60612, USA.

出版信息

Transpl Infect Dis. 2011 Feb;13(1):52-7. doi: 10.1111/j.1399-3062.2010.00540.x.

DOI:10.1111/j.1399-3062.2010.00540.x

PMID:20626712

Abstract

Mycobacterium tuberculosis is an important opportunistic pathogen following renal transplantation and is often associated with adverse outcomes. Gastrointestinal tuberculosis (GITB) is an infrequent manifestation of TB but a potentially lethal one. We present a case of a renal allograft recipient with GITB 18 months after transplant and review other published cases to identify the typical presenting symptoms, risk factors, and natural history. Treatment of GITB is also discussed.

摘要

结核分枝杆菌是肾移植后一种重要的机会性病原体，常与不良预后相关。胃肠道结核（GITB）是结核病的一种罕见表现，但可能致命。我们报告一例肾移植受者在移植后18个月发生GITB的病例，并回顾其他已发表的病例，以确定典型的临床表现、危险因素和自然病程。同时也讨论了GITB的治疗。