Mat O, Abramowicz D, Peny M O, Struelens M, Doutrelepont J M, Adler M, De Pauw L, Vanherweghem J L, Kinnaert P, Vereerstraeten P
Department of Nephrology, Dialysis and Transplantation, Hôpital Erasme, Brussels, Belgium.
Transpl Int. 1994;7(1):67-9. doi: 10.1007/BF00335667.
We observed a kidney transplant recipient in whom acute hepatitis was the initial manifestation of tuberculosis, preceding radiological lung involvement by several weeks. The diagnosis was suspected and treatment initiated based on the finding of a granulomatous hepatitis on liver biopsy. Mycobacterial tuberculosis was grown and identified first in liver samples and only later in sputum and bone marrow. This case illustrates the protean manifestations of tuberculosis in immunosuppressed patients.
我们观察了一名肾移植受者，其急性肝炎是结核病的首发表现，比肺部影像学出现病变提前了几周。基于肝活检发现肉芽肿性肝炎，怀疑并开始了诊断。首先在肝脏样本中培养并鉴定出结核分枝杆菌，随后才在痰液和骨髓中发现。该病例说明了结核病在免疫抑制患者中的多种表现形式。
