Cummings Y, Cruz I, Kovi J, Callender C, Dillard M, Hosten A
J Natl Med Assoc. 1978 Mar;70(3):167-9.
Caseous granulomatous lesions, consistent with tuberculosis, were found in the spleen in two of our renal transplant candidates. There was no clinical evidence of tuberculosis in either patient. Only one patient had a positive tuberculin skin test whose chest film showed hilar calcifications suggestive of healed granulomatous disease. Because of this incidental finding in the spleen, both patients were placed on antituberculous therapy. There has been no evidence of active tuberculosis in either patient despite the use of usual doses of immunosuppressive drugs.
在我们的两名肾移植候选者的脾脏中发现了符合结核病的干酪样肉芽肿病变。两名患者均无结核病的临床证据。只有一名患者结核菌素皮肤试验呈阳性，其胸部X光片显示肺门钙化，提示肉芽肿病已愈合。由于在脾脏中偶然发现这一情况，两名患者均接受了抗结核治疗。尽管使用了常规剂量的免疫抑制药物，但两名患者均无活动性结核病的证据。
