Malhotra K K, Dash S C, Dhawan I K, Bhuyan U N, Gupta A
Postgrad Med J. 1986 May;62(727):359-62. doi: 10.1136/pgmj.62.727.359.
Ninety-five renal transplant recipients from an endemic area of tuberculosis were investigated to find out the prevalence and course of tuberculosis in pre- and post-transplant periods. Eleven patients had tuberculosis in the pre-transplant period - pulmonary (2), pleural (2), miliary (1), abdominal (2), lymph node (5) and pericardial (1). They were transplanted after antituberculous therapy of 3 to 6 months with satisfactory results. The anti-tuberculous treatment was usually continued for 2 years. Only one of the above 11 patients had evidence of tuberculosis in the post-transplant period. Nine patients developed tuberculosis for the first time in the post-transplant period - pulmonary (4), pleural (1), miliary (1), lymph node (4) and pericardial (1). There was no mortality due to tuberculosis. Thorough search for tuberculosis is mandatory both during pre-transplant assessment and post-transplant follow-up in areas of endemic tuberculosis.
对来自结核病流行地区的95名肾移植受者进行了调查，以了解移植前和移植后结核病的患病率及病程。11名患者在移植前患有结核病——肺部（2例）、胸膜（2例）、粟粒性（1例）、腹部（2例）、淋巴结（5例）和心包（1例）。他们在接受3至6个月的抗结核治疗后进行了移植，结果令人满意。抗结核治疗通常持续2年。上述11名患者中只有1名在移植后有结核病迹象。9名患者在移植后首次患上结核病——肺部（4例）、胸膜（1例）、粟粒性（1例）、淋巴结（4例）和心包（1例）。没有因结核病导致的死亡。在结核病流行地区，无论是移植前评估还是移植后随访，都必须对结核病进行全面筛查。
